Market Share and Enrollment of Largest Three Insurers - Small Group Market

2024

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	9895050	UNITEDHEALTH GRP	1435175	0.15	HCSC GRP	1158257	0.12	ELEVANCE HLTH INC GRP	1026248	0.1
Alabama	187335	BCBS OF AL GRP	183571	0.98	VIVA HLTH INC	2571	0.01	UNITEDHEALTH GRP	1193	0.01
Alaska	11721	PREMERA BLUE CROSS GRP	10874	0.93	OREGON DENTAL SERV GRP	502	0.04	CVS GRP	202	0.02
Arizona	125735	BCBS OF AZ INC	62576	0.5	UNITEDHEALTH GRP	45455	0.36	CVS GRP	10697	0.09
Arkansas	84662	ARKANSAS BCBS GRP	59967	0.71	CENTENE CORP GRP	12930	0.15	UNITEDHEALTH GRP	11765	0.14
California	2161118	KAISER FOUNDATION GRP	770026	0.36	ELEVANCE HLTH INC GRP	560092	0.26	BLUE SHIELD OF CA GRP	422126	0.2
Colorado	129643	UNITEDHEALTH GRP	80452	0.62	KAISER FOUNDATION GRP	47077	0.36	ELEVANCE HLTH INC GRP	1821	0.01
Connecticut	76813	ELEVANCE HLTH INC GRP	44070	0.57	UNITEDHEALTH GRP	18013	0.23	CIGNA HLTH GRP	14397	0.19
Delaware	21609	HIGHMARK GRP	19288	0.89	UNITEDHEALTH GRP	2118	0.1	CVS GRP	203	0.01
District of Columbia	91934	CAREFIRST INC GRP	73335	0.8	UNITEDHEALTH GRP	11623	0.13	KAISER FOUNDATION GRP	4845	0.05
Florida	383967	GUIDEWELL MUT HOLDING GRP	247668	0.65	UNITEDHEALTH GRP	126583	0.33	SENTARA HLTH MGMT GRP	4352	0.01
Georgia	55653	UNITEDHEALTH GRP	21700	0.39	CIGNA HLTH GRP	14632	0.26	ELEVANCE HLTH INC GRP	7919	0.14
Hawaii	98560	HAWAII MEDICAL SERV ASSN	52312	0.53	KAISER FOUNDATION GRP	19386	0.2	UNIVERSITY HLTH ALLIANCE	18814	0.19
Idaho	96787	CAMBIA HEALTH SOLUTIONS INC	32174	0.33	BLUE CROSS OF ID GRP	31641	0.33	IHC INC GRP	20383	0.21
Illinois	467985	HCSC GRP	413462	0.88	UNITEDHEALTH GRP	41469	0.09	CARLE HOLDING CO GRP	10674	0.02
Indiana	84441	ELEVANCE HLTH INC GRP	57417	0.68	UNITEDHEALTH GRP	12826	0.15	COREWELL HLTH GRP	8406	0.1
Iowa	123711	WELLMARK INC GRP	110081	0.89	UNITEDHEALTH GRP	9393	0.08	MEDICAL ASSOCIATES GRP	1874	0.02
Kansas	86745	BCBS OF KS GRP	69986	0.81	BCBS OF KC GRP	7855	0.09	UNITEDHEALTH GRP	6541	0.08
Kentucky	28073	ELEVANCE HLTH INC GRP	24424	0.87	UNITEDHEALTH GRP	2896	0.1	HUMANA GRP	753	0.03
Louisiana	147694	LOUISIANA HLTH SERV GRP	137448	0.93	UNITEDHEALTH GRP	9821	0.07	HUMANA GRP	418	0
Maine	41245	ELEVANCE HLTH INC GRP	18456	0.45	POINT32HEALTH INC GRP	13379	0.32	MAINE COMM HLTH OPTIONS	7346	0.18
Maryland	224694	CAREFIRST INC GRP	173878	0.77	UNITEDHEALTH GRP	29874	0.13	CVS GRP	11728	0.05
Massachusetts	336875	BCBS OF MA GRP	146105	0.43	POINT32HEALTH INC GRP	105440	0.31	MASS GENERAL BRIGHAM INC GRP	39897	0.12
Michigan	452237	BCBS OF MI GRP	279435	0.62	COREWELL HLTH GRP	110171	0.24	HENRY FORD HLTH SYSTEM GRP	39273	0.09
Minnesota	131598	BCBS OF MN GRP	85835	0.65	MEDICA GRP	36165	0.27	UNITEDHEALTH GRP	8568	0.07
Mississippi	82832	MISSISSIPPI INS GRP	76693	0.93	UNITEDHEALTH GRP	6051	0.07	HUMANA GRP	87	0
Missouri	82523	UNITEDHEALTH GRP	34636	0.42	ELEVANCE HLTH INC GRP	31978	0.39	BCBS OF KC GRP	13049	0.16
Montana	44463	HCSC GRP	25222	0.57	PACIFICSOURCE HLTH PLAN GRP	15034	0.34	MONTANA HLTH COOPERATIVE	3258	0.07
Nebraska	22901	BCBS OF NE GRP	10552	0.46	MEDICA GRP	6294	0.27	UNITEDHEALTH GRP	6054	0.26
Nevada	56044	UNITEDHEALTH GRP	46920	0.84	RENOWN HLTH GRP	5558	0.1	ELEVANCE HLTH INC GRP	2129	0.04
New Hampshire	56367	ELEVANCE HLTH INC GRP	38580	0.68	POINT32HEALTH INC GRP	13634	0.24	UNITEDHEALTH GRP	4153	0.07
New Jersey	218298	BCBS OF NJ GRP	156044	0.71	UNITEDHEALTH GRP	48816	0.22	INDEPENDENCE BLUE CROSS GRP	12895	0.06
New Mexico	40315	HCSC GRP	22042	0.55	PRESBYTERIAN HLTHCARE SERV GRP	10212	0.25	UNITEDHEALTH GRP	8060	0.2
New York	731380	UNITEDHEALTH GRP	352307	0.48	LIFETIME HLTHCARE GRP	137243	0.19	INDEPENDENT HLTH ASSN GRP	53454	0.07
North Carolina	238797	BCBS OF NC GRP	180150	0.75	UNITEDHEALTH GRP	51651	0.22	CVS GRP	5620	0.02
North Dakota	52684	BCBS OF ND	43240	0.82	SANFORD HLTH GRP	5314	0.1	MEDICA GRP	3822	0.07
Ohio	67094	ELEVANCE HLTH INC GRP	45773	0.68	UNITEDHEALTH GRP	12426	0.19	AULTMAN HLTH FOUNDATION GRP	5166	0.08
Oklahoma	158841	HCSC GRP	143200	0.9	COMMUNITYCARE GRP	10517	0.07	UNITEDHEALTH GRP	5032	0.03
Oregon	165664	CAMBIA HEALTH SOLUTIONS INC	59940	0.36	PROVIDENCE HLTH GRP	45244	0.27	KAISER FOUNDATION GRP	26122	0.16
Pennsylvania	448479	INDEPENDENCE BLUE CROSS GRP	165038	0.37	UPMC HLTH SYSTEM GRP	115267	0.26	HIGHMARK GRP	104876	0.23
Rhode Island	44644	BCBS OF RI	39908	0.89	NEIGHBORHOOD HLTH PLAN OF RI INC	2278	0.05	UNITEDHEALTH GRP	2081	0.05
South Carolina	57688	BCBS OF SC GRP	52240	0.91	UNITEDHEALTH GRP	5439	0.09	CVS GRP	9	0
South Dakota	43269	WELLMARK INC GRP	33264	0.77	AVERA HLTH PLANS INC	7380	0.17	SANFORD HLTH GRP	2368	0.05
Tennessee	163150	BCBS OF TN GRP	118076	0.72	UNITEDHEALTH GRP	41346	0.25	CIGNA HLTH GRP	2693	0.02
Texas	621775	HCSC GRP	554331	0.89	UNITEDHEALTH GRP	44276	0.07	SCOTT & WHITE GRP	16094	0.03
Utah	143505	IHC INC GRP	110940	0.77	CAMBIA HEALTH SOLUTIONS INC	25936	0.18	UNITEDHEALTH GRP	5970	0.04
Vermont	36893	BCBS OF MI GRP	22019	0.6	MVP GRP	14874	0.4	NA	NA	NA
Virginia	275752	ELEVANCE HLTH INC GRP	126982	0.46	CAREFIRST INC GRP	50647	0.18	UNITEDHEALTH GRP	50394	0.18
Washington	218529	CAMBIA HEALTH SOLUTIONS INC	106878	0.49	PREMERA BLUE CROSS GRP	51465	0.24	KAISER FOUNDATION GRP	43191	0.2
West Virginia	25668	HIGHMARK GRP	23780	0.93	UNITEDHEALTH GRP	1004	0.04	HEALTH PLAN GRP	884	0.03
Wisconsin	134083	UNITEDHEALTH GRP	42116	0.31	ELEVANCE HLTH INC GRP	29157	0.22	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	24433	0.18
Wyoming	12578	BCBS OF WY	9247	0.74	UNITEDHEALTH GRP	1719	0.14	MONTANA HLTH COOPERATIVE	1606	0.13

2023

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	10302127	UNITEDHEALTH GRP	1599651	0.16	HCSC GRP	1187572	0.12	KAISER FOUNDATION GRP	979269	0.10
Alabama	189496	BCBS OF AL GRP	185708	0.98	VIVA HLTH INC	2139	0.01	UNITEDHEALTH GRP	1648	0.01
Alaska	12013	PREMERA BLUE CROSS GRP	11094	0.92	OREGON DENTAL SERV GRP	706	0.06	UNITEDHEALTH GRP	127	0.01
Arizona	138070	BCBS OF AZ INC	58560	0.42	UNITEDHEALTH GRP	54907	0.40	CVS GRP	13027	0.09
Arkansas	85764	ARKANSAS BCBS GRP	59826	0.70	UNITEDHEALTH GRP	13260	0.15	CENTENE CORP GRP	12678	0.15
California	2193709	KAISER FOUNDATION GRP	794906	0.36	ELEVANCE HLTH INC GRP	515566	0.24	BLUE SHIELD OF CA GRP	484994	0.22
Colorado	141686	UNITEDHEALTH GRP	87088	0.61	KAISER FOUNDATION GRP	49961	0.35	ELEVANCE HLTH INC GRP	2590	0.02
Connecticut	84018	ELEVANCE HLTH INC GRP	32744	0.39	UNITEDHEALTH GRP	23174	0.28	CIGNA HLTH GRP	20312	0.24
Delaware	21199	HIGHMARK GRP	19276	0.91	UNITEDHEALTH GRP	1647	0.08	CVS GRP	276	0.01
District of Columbia	93152	CAREFIRST INC GRP	74880	0.80	UNITEDHEALTH GRP	11685	0.13	KAISER FOUNDATION GRP	4774	0.05
Florida	408757	GUIDEWELL MUT HOLDING GRP	245996	0.60	UNITEDHEALTH GRP	141214	0.35	HUMANA GRP	14680	0.04
Georgia	80446	UNITEDHEALTH GRP	23259	0.29	HUMANA GRP	20649	0.26	CIGNA HLTH GRP	17857	0.22
Hawaii	99650	HAWAII MEDICAL SERV ASSN	51241	0.51	KAISER FOUNDATION GRP	20391	0.20	UNIVERSITY HLTH ALLIANCE	19261	0.19
Idaho	98250	BLUE CROSS OF ID GRP	35051	0.36	CAMBIA HEALTH SOLUTIONS INC	28520	0.29	IHC INC GRP	20316	0.21
Illinois	485093	HCSC GRP	415625	0.86	UNITEDHEALTH GRP	52033	0.11	CARLE HOLDING CO GRP	10731	0.02
Indiana	95476	ELEVANCE HLTH INC GRP	59611	0.62	UNITEDHEALTH GRP	17754	0.19	PHP INDIANA GRP	10324	0.11
Iowa	129219	WELLMARK INC GRP	113186	0.88	UNITEDHEALTH GRP	12001	0.09	MEDICAL ASSOCIATES GRP	1909	0.01
Kansas	97863	BCBS OF KS GRP	77913	0.80	BCBS OF KC GRP	7320	0.07	UNITEDHEALTH GRP	6118	0.06
Kentucky	33637	ELEVANCE HLTH INC GRP	22770	0.68	HUMANA GRP	7003	0.21	UNITEDHEALTH GRP	3860	0.11
Louisiana	157559	LOUISIANA HLTH SERV GRP	146363	0.93	UNITEDHEALTH GRP	8954	0.06	HUMANA GRP	2231	0.01
Maine	43017	ELEVANCE HLTH INC GRP	15719	0.37	POINT32HEALTH INC GRP	15595	0.36	MAINE COMM HLTH OPTIONS	8175	0.19
Maryland	238965	CAREFIRST INC GRP	187191	0.78	UNITEDHEALTH GRP	33653	0.14	KAISER FOUNDATION GRP	9778	0.04
Massachusetts	358896	BCBS OF MA GRP	153209	0.43	POINT32HEALTH INC GRP	114196	0.32	MASS GENERAL BRIGHAM INC GRP	40425	0.11
Michigan	460890	BCBS OF MI GRP	282835	0.61	COREWELL HLTH GRP	109456	0.24	HENRY FORD HLTH SYSTEM GRP	41934	0.09
Minnesota	93961	BCBS OF MN GRP	82242	0.88	UNITEDHEALTH GRP	10736	0.11	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	716	0.01
Mississippi	81915	MISSISSIPPI INS GRP	74612	0.91	UNITEDHEALTH GRP	6614	0.08	HUMANA GRP	689	0.01
Missouri	94022	UNITEDHEALTH GRP	40826	0.43	ELEVANCE HLTH INC GRP	34580	0.37	BCBS OF KC GRP	12819	0.14
Montana	45940	HCSC GRP	25436	0.55	PACIFICSOURCE HLTH PLAN GRP	15482	0.34	MONTANA HLTH COOPERATIVE	4032	0.09
Nebraska	24371	BCBS OF NE GRP	17290	0.71	UNITEDHEALTH GRP	6881	0.28	CVS GRP	200	0.01
Nevada	62364	UNITEDHEALTH GRP	52623	0.84	RENOWN HLTH GRP	6265	0.10	ELEVANCE HLTH INC GRP	2295	0.04
New Hampshire	58411	ELEVANCE HLTH INC GRP	36969	0.63	POINT32HEALTH INC GRP	16490	0.28	UNITEDHEALTH GRP	4952	0.08
New Jersey	247915	BCBS OF NJ GRP	175825	0.71	UNITEDHEALTH GRP	52089	0.21	INDEPENDENCE BLUE CROSS GRP	19132	0.08
New Mexico	39481	HCSC GRP	21433	0.54	PRESBYTERIAN HLTHCARE SERV GRP	9139	0.23	UNITEDHEALTH GRP	8910	0.23
New York	785584	UNITEDHEALTH GRP	367608	0.47	LIFETIME HLTHCARE GRP	144276	0.18	HIGHMARK GRP	49720	0.06
North Carolina	255226	BCBS OF NC GRP	182050	0.71	UNITEDHEALTH GRP	67860	0.27	CVS GRP	3987	0.02
North Dakota	49095	BCBS OF ND	43144	0.88	SANFORD HLTH GRP	5614	0.11	UNITEDHEALTH GRP	336	0.01
Ohio	29360	UNITEDHEALTH GRP	15702	0.53	AULTMAN HLTH FOUNDATION GRP	5729	0.20	HUMANA GRP	4297	0.15
Oklahoma	168988	HCSC GRP	151172	0.89	COMMUNITYCARE GRP	10481	0.06	UNITEDHEALTH GRP	7175	0.04
Oregon	174651	CAMBIA HEALTH SOLUTIONS INC	63722	0.36	PROVIDENCE HLTH GRP	52220	0.30	KAISER FOUNDATION GRP	26968	0.15
Pennsylvania	457844	INDEPENDENCE BLUE CROSS GRP	166330	0.36	UPMC HLTH SYSTEM GRP	127355	0.28	HIGHMARK GRP	96046	0.21
Rhode Island	45821	BCBS OF RI	40462	0.88	UNITEDHEALTH GRP	2114	0.05	NEIGHBORHOOD HLTH PLAN OF RI INC	2082	0.05
South Carolina	63392	BCBS OF SC GRP	55968	0.88	UNITEDHEALTH GRP	7399	0.12	CVS GRP	24	0.00
South Dakota	45213	WELLMARK INC GRP	33530	0.74	AVERA HLTH PLANS INC	8370	0.19	SANFORD HLTH GRP	3060	0.07
Tennessee	170069	BCBS OF TN GRP	111476	0.66	UNITEDHEALTH GRP	50220	0.30	HUMANA GRP	4476	0.03
Texas	667499	HCSC GRP	573906	0.86	UNITEDHEALTH GRP	53060	0.08	HUMANA GRP	21908	0.03
Utah	152997	IHC INC GRP	118158	0.77	CAMBIA HEALTH SOLUTIONS INC	27312	0.18	UNITEDHEALTH GRP	6776	0.04
Vermont	38029	BCBS OF MI GRP	21952	0.58	MVP GRP	16077	0.42	NA	NA	NA
Virginia	291607	ELEVANCE HLTH INC GRP	132225	0.45	UNITEDHEALTH GRP	56343	0.19	CAREFIRST INC GRP	55958	0.19
Washington	227157	CAMBIA HEALTH SOLUTIONS INC	104063	0.46	PREMERA BLUE CROSS GRP	56561	0.25	KAISER FOUNDATION GRP	49430	0.22
West Virginia	27358	HIGHMARK GRP	24762	0.91	UNITEDHEALTH GRP	1519	0.06	HEALTH PLAN GRP	1018	0.04
Wisconsin	143484	UNITEDHEALTH GRP	46564	0.32	ELEVANCE HLTH INC GRP	28258	0.20	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	26496	0.18
Wyoming	13548	BCBS OF WY	10570	0.78	UNITEDHEALTH GRP	1684	0.12	MONTANA HLTH COOPERATIVE	1287	0.10

2022

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	10842408	UNITEDHEALTH GRP	1825714	0.17	HCSC GRP	1216752	0.11	KAISER FOUNDATION GRP	1010783	0.09
Alabama	192427	BCBS OF AL GRP	188019	0.98	UNITEDHEALTH GRP	3043	0.02	VIVA HLTH INC	1365	0.01
Alaska	12696	PREMERA BLUE CROSS GRP	11748	0.93	OREGON DENTAL SERV GRP	679	0.05	CVS GRP	141	0.01
Arizona	150176	UNITEDHEALTH GRP	66019	0.44	BCBS OF AZ INC	59849	0.40	CVS GRP	14615	0.10
Arkansas	85282	ARKANSAS BCBS GRP	59472	0.70	UNITEDHEALTH GRP	14637	0.17	CENTENE CORP GRP	11173	0.13
California	2223112	KAISER FOUNDATION GRP	814895	0.37	BLUE SHIELD OF CA GRP	545245	0.25	ELEVANCE HLTH INC GRP	455469	0.20
Colorado	164295	UNITEDHEALTH GRP	102306	0.62	KAISER FOUNDATION GRP	54606	0.33	HUMANA GRP	3838	0.02
Connecticut	92436	UNITEDHEALTH GRP	32532	0.35	ELEVANCE HLTH INC GRP	24411	0.26	EMBLEM HLTH GRP	18953	0.21
Delaware	22022	HIGHMARK GRP	19702	0.89	UNITEDHEALTH GRP	1883	0.09	CVS GRP	437	0.02
District of Columbia	89497	CAREFIRST INC GRP	72831	0.81	UNITEDHEALTH GRP	10464	0.12	KAISER FOUNDATION GRP	4576	0.05
Florida	420856	GUIDEWELL MUT HOLDING GRP	239524	0.57	UNITEDHEALTH GRP	151051	0.36	HUMANA GRP	20332	0.05
Georgia	101322	HUMANA GRP	30159	0.30	UNITEDHEALTH GRP	29529	0.29	CIGNA HLTH GRP	15185	0.15
Hawaii	105604	HAWAII MEDICAL SERV ASSN	55004	0.52	KAISER FOUNDATION GRP	21737	0.21	UNIVERSITY HLTH ALLIANCE	19741	0.19
Idaho	99601	BLUE CROSS OF ID GRP	41977	0.42	CAMBIA HEALTH SOLUTIONS INC	23622	0.24	IHC INC GRP	17882	0.18
Illinois	505822	HCSC GRP	422907	0.84	UNITEDHEALTH GRP	64605	0.13	CARLE HOLDING CO GRP	10384	0.02
Indiana	45812	UNITEDHEALTH GRP	25403	0.55	PHP INDIANA GRP	11558	0.25	INDIANA UNIVERSITY HLTH GRP	3138	0.07
Iowa	135397	WELLMARK INC GRP	114390	0.84	UNITEDHEALTH GRP	18016	0.13	MEDICAL ASSOCIATES GRP	2005	0.01
Kansas	111206	BCBS OF KS GRP	87032	0.78	BCBS OF KC GRP	8679	0.08	UNITEDHEALTH GRP	6971	0.06
Kentucky	39525	ELEVANCE HLTH INC GRP	23763	0.60	HUMANA GRP	9956	0.25	UNITEDHEALTH GRP	5802	0.15
Louisiana	165344	LOUISIANA HLTH SERV GRP	153192	0.93	UNITEDHEALTH GRP	9097	0.06	HUMANA GRP	3053	0.02
Maine	43503	POINT32HEALTH INC GRP	16304	0.37	ELEVANCE HLTH INC GRP	14604	0.34	MAINE COMM HLTH OPTIONS	8428	0.19
Maryland	247698	CAREFIRST INC GRP	195455	0.79	UNITEDHEALTH GRP	38902	0.16	KAISER FOUNDATION GRP	10141	0.04
Massachusetts	372873	BCBS OF MA GRP	155977	0.42	POINT32HEALTH INC GRP	121950	0.33	MASS GENERAL BRIGHAM INC GRP	43904	0.12
Michigan	472183	BCBS OF MI GRP	293465	0.62	COREWELL HLTH GRP	108907	0.23	HENRY FORD HLTH SYSTEM GRP	40596	0.09
Minnesota	155891	BCBS OF MN GRP	77133	0.49	HEALTHPARTNERS GRP	71759	0.46	UNITEDHEALTH GRP	5798	0.04
Mississippi	83436	MISSISSIPPI INS GRP	76907	0.92	UNITEDHEALTH GRP	5630	0.07	HUMANA GRP	899	0.01
Missouri	112113	UNITEDHEALTH GRP	53113	0.47	ELEVANCE HLTH INC GRP	37738	0.34	BCBS OF KC GRP	15720	0.14
Montana	46815	HCSC GRP	25451	0.54	PACIFICSOURCE HLTH PLAN GRP	15748	0.34	MONTANA HLTH COOPERATIVE	4450	0.10
Nebraska	30836	BCBS OF NE GRP	20961	0.68	UNITEDHEALTH GRP	9740	0.32	CVS GRP	96	0.00
Nevada	68503	UNITEDHEALTH GRP	55359	0.81	RENOWN HLTH GRP	7216	0.11	UNIVERSAL HLTH SERV INC GRP	2546	0.04
New Hampshire	60036	ELEVANCE HLTH INC GRP	34010	0.57	POINT32HEALTH INC GRP	19510	0.32	UNITEDHEALTH GRP	6515	0.11
New Jersey	282209	BCBS OF NJ GRP	196840	0.70	UNITEDHEALTH GRP	56521	0.20	INDEPENDENCE BLUE CROSS GRP	27737	0.10
New Mexico	45537	HCSC GRP	14697	0.32	PRESBYTERIAN HLTHCARE SERV GRP	14034	0.31	BRIGHT HLTH GRP	8829	0.19
New York	839403	UNITEDHEALTH GRP	400465	0.48	LIFETIME HLTHCARE GRP	152067	0.18	HIGHMARK GRP	74762	0.09
North Carolina	268813	BCBS OF NC GRP	172144	0.64	UNITEDHEALTH GRP	94377	0.35	CARLE HOLDING CO GRP	1184	0.00
North Dakota	51541	BCBS OF ND	44120	0.86	SANFORD HLTH GRP	7018	0.14	UNITEDHEALTH GRP	404	0.01
Ohio	36264	UNITEDHEALTH GRP	20401	0.56	AULTMAN HLTH FOUNDATION GRP	6551	0.18	HUMANA GRP	5023	0.14
Oklahoma	178295	HCSC GRP	156206	0.88	COMMUNITYCARE GRP	11685	0.07	UNITEDHEALTH GRP	10130	0.06
Oregon	179244	CAMBIA HEALTH SOLUTIONS INC	68317	0.38	PROVIDENCE HLTH GRP	51651	0.29	KAISER FOUNDATION GRP	27378	0.15
Pennsylvania	474870	INDEPENDENCE BLUE CROSS GRP	170681	0.36	UPMC HLTH SYSTEM GRP	138834	0.29	HIGHMARK GRP	89161	0.19
Rhode Island	45831	BCBS OF RI	41514	0.91	UNITEDHEALTH GRP	2593	0.06	POINT32HEALTH INC GRP	1724	0.04
South Carolina	64989	BCBS OF SC GRP	56298	0.87	UNITEDHEALTH GRP	8681	0.13	CVS GRP	10	0.00
South Dakota	47221	WELLMARK INC GRP	33957	0.72	AVERA HLTH PLANS INC	9877	0.21	SANFORD HLTH GRP	3124	0.07
Tennessee	223919	BCBS OF TN GRP	154436	0.69	UNITEDHEALTH GRP	60187	0.27	HUMANA GRP	5862	0.03
Texas	712685	HCSC GRP	597491	0.84	UNITEDHEALTH GRP	65854	0.09	HUMANA GRP	28985	0.04
Utah	161680	IHC INC GRP	122714	0.76	CAMBIA HEALTH SOLUTIONS INC	30159	0.19	UNITEDHEALTH GRP	8044	0.05
Vermont	40396	MVP GRP	20780	0.51	BCBS OF VT GRP	19616	0.49	NA	NA	NA
Virginia	303554	ELEVANCE HLTH INC GRP	140609	0.46	CAREFIRST INC GRP	59649	0.20	UNITEDHEALTH GRP	59002	0.19
Washington	229766	CAMBIA HEALTH SOLUTIONS INC	99315	0.43	PREMERA BLUE CROSS GRP	60421	0.26	KAISER FOUNDATION GRP	52662	0.23
West Virginia	28920	HIGHMARK GRP	25588	0.88	UNITEDHEALTH GRP	1944	0.07	HEALTH PLAN GRP	1336	0.05
Wisconsin	156191	UNITEDHEALTH GRP	51674	0.33	ELEVANCE HLTH INC GRP	30902	0.20	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	30031	0.19
Wyoming	14760	BCBS OF WY	12204	0.83	UNITEDHEALTH GRP	1758	0.12	MONTANA HLTH COOPERATIVE	790	0.05

2021

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	11160933	UNITEDHEALTH GRP	2060762	0.18	HCSC GRP	1228320	0.11	KAISER FOUNDATION GRP	1035957	0.09
Alabama	191424	BCBS OF AL GRP	186700	0.98	UNITEDHEALTH GRP	3853	0.02	VIVA HLTH INC	871	0.00
Alaska	13425	PREMERA BLUE CROSS GRP	12346	0.92	OREGON DENTAL SERV GRP	729	0.05	CVS GRP	218	0.02
Arizona	152810	UNITEDHEALTH GRP	73288	0.48	BCBS OF AZ INC	54362	0.36	CVS GRP	15948	0.10
Arkansas	87763	ARKANSAS BCBS GRP	55784	0.64	UNITEDHEALTH GRP	20892	0.24	CENTENE CORP GRP	11077	0.13
California	2190310	KAISER FOUNDATION GRP	831141	0.38	BLUE SHIELD OF CA GRP	542105	0.25	ELEVANCE HLTH INC GRP	409952	0.19
Colorado	183878	UNITEDHEALTH GRP	113835	0.62	KAISER FOUNDATION GRP	58920	0.32	HUMANA GRP	4999	0.03
Connecticut	98214	UNITEDHEALTH GRP	46614	0.47	ELEVANCE HLTH INC GRP	25884	0.26	EMBLEM HLTH GRP	20011	0.20
Delaware	22658	HIGHMARK GRP	20506	0.91	UNITEDHEALTH GRP	1698	0.07	CVS GRP	453	0.02
District of Columbia	87924	CAREFIRST INC GRP	68853	0.78	UNITEDHEALTH GRP	13167	0.15	KAISER FOUNDATION GRP	4495	0.05
Florida	427470	GUIDEWELL MUT HOLDING GRP	224816	0.53	UNITEDHEALTH GRP	155241	0.36	HUMANA GRP	26577	0.06
Georgia	123780	HUMANA GRP	45360	0.37	UNITEDHEALTH GRP	42118	0.34	ELEVANCE HLTH INC GRP	18019	0.15
Hawaii	111180	HAWAII MEDICAL SERV ASSN	56633	0.51	KAISER FOUNDATION GRP	22086	0.20	UNIVERSITY HLTH ALLIANCE	20128	0.18
Idaho	94477	BLUE CROSS OF ID GRP	44280	0.47	CAMBIA HEALTH SOLUTIONS INC	21556	0.23	IHC INC GRP	15742	0.17
Illinois	513933	HCSC GRP	423613	0.82	UNITEDHEALTH GRP	71782	0.14	CARLE HOLDING CO GRP	9377	0.02
Indiana	122551	ELEVANCE HLTH INC GRP	67108	0.55	UNITEDHEALTH GRP	29709	0.24	PHP INDIANA GRP	14330	0.12
Iowa	141713	WELLMARK INC GRP	115333	0.81	UNITEDHEALTH GRP	23517	0.17	MEDICAL ASSOCIATES GRP	2071	0.01
Kansas	121421	BCBS OF KS GRP	91778	0.76	BCBS OF KC GRP	10915	0.09	HUMANA GRP	10524	0.09
Kentucky	48344	ELEVANCE HLTH INC GRP	26559	0.55	HUMANA GRP	13193	0.27	UNITEDHEALTH GRP	8581	0.18
Louisiana	170555	LOUISIANA HLTH SERV GRP	155122	0.91	UNITEDHEALTH GRP	10419	0.06	HUMANA GRP	5014	0.03
Maine	43529	POINT32HEALTH INC GRP	18167	0.42	ELEVANCE HLTH INC GRP	12838	0.29	MAINE COMM HLTH OPTIONS	8581	0.20
Maryland	254210	CAREFIRST INC GRP	194669	0.77	UNITEDHEALTH GRP	48039	0.19	KAISER FOUNDATION GRP	10611	0.04
Massachusetts	389167	BCBS OF MA GRP	167802	0.43	POINT32HEALTH INC GRP	123452	0.32	MASS GENERAL BRIGHAM INC GRP	45876	0.12
Michigan	472754	BCBS OF MI GRP	298530	0.63	COREWELL HLTH GRP	105525	0.22	HENRY FORD HLTH SYSTEM GRP	36067	0.08
Minnesota	83246	BCBS OF MN GRP	78728	0.95	UNITEDHEALTH GRP	3590	0.04	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	635	0.01
Mississippi	84753	MISSISSIPPI INS GRP	77416	0.91	UNITEDHEALTH GRP	6251	0.07	HUMANA GRP	1086	0.01
Missouri	132900	UNITEDHEALTH GRP	64104	0.48	ELEVANCE HLTH INC GRP	41258	0.31	BCBS OF KC GRP	21685	0.16
Montana	45511	HCSC GRP	26221	0.58	PACIFICSOURCE HLTH PLAN GRP	15962	0.35	MONTANA HLTH COOPERATIVE	2232	0.05
Nebraska	35202	BCBS OF NE GRP	22594	0.64	UNITEDHEALTH GRP	12369	0.35	CVS GRP	240	0.01
Nevada	69592	UNITEDHEALTH GRP	56612	0.81	RENOWN HLTH GRP	7957	0.11	UNIVERSAL HLTH SERV INC GRP	2408	0.03
New Hampshire	60514	ELEVANCE HLTH INC GRP	29500	0.49	POINT32HEALTH INC GRP	21067	0.35	UNITEDHEALTH GRP	9947	0.16
New Jersey	296701	BCBS OF NJ GRP	205753	0.69	UNITEDHEALTH GRP	58494	0.20	INDEPENDENCE BLUE CROSS GRP	30433	0.10
New Mexico	48195	PRESBYTERIAN HLTHCARE SERV GRP	16022	0.33	HCSC GRP	14397	0.30	BRIGHT HLTH GRP	9717	0.20
New York	881146	UNITEDHEALTH GRP	434946	0.49	LIFETIME HLTHCARE GRP	162045	0.18	HIGHMARK GRP	90619	0.10
North Carolina	292019	BCBS OF NC GRP	156934	0.54	UNITEDHEALTH GRP	133278	0.46	CARLE HOLDING CO GRP	1195	0.00
North Dakota	51754	BCBS OF ND	44835	0.87	SANFORD HLTH GRP	6500	0.13	UNITEDHEALTH GRP	420	0.01
Ohio	46832	UNITEDHEALTH GRP	27803	0.59	AULTMAN HLTH FOUNDATION GRP	7150	0.15	HUMANA GRP	6935	0.15
Oklahoma	179692	HCSC GRP	154876	0.86	COMMUNITYCARE GRP	13051	0.07	UNITEDHEALTH GRP	11530	0.06
Oregon	178581	CAMBIA HEALTH SOLUTIONS INC	71271	0.40	PROVIDENCE HLTH GRP	47948	0.27	KAISER FOUNDATION GRP	27349	0.15
Pennsylvania	492852	INDEPENDENCE BLUE CROSS GRP	174335	0.35	UPMC HLTH SYSTEM GRP	150462	0.31	HIGHMARK GRP	91285	0.19
Rhode Island	48173	BCBS OF RI	40675	0.84	UNITEDHEALTH GRP	3158	0.07	POINT32HEALTH INC GRP	2542	0.05
South Carolina	76300	BCBS OF SC GRP	65676	0.86	UNITEDHEALTH GRP	10612	0.14	CVS GRP	12	0.00
South Dakota	48806	WELLMARK INC GRP	34573	0.71	AVERA HLTH PLANS INC	10980	0.22	SANFORD HLTH GRP	3042	0.06
Tennessee	185343	BCBS OF TN GRP	109890	0.59	UNITEDHEALTH GRP	65352	0.35	HUMANA GRP	7862	0.04
Texas	735723	HCSC GRP	609214	0.83	UNITEDHEALTH GRP	70697	0.10	HUMANA GRP	37826	0.05
Utah	158529	IHC INC GRP	117274	0.74	CAMBIA HEALTH SOLUTIONS INC	31612	0.20	UNITEDHEALTH GRP	8538	0.05
Vermont	40556	MVP GRP	21742	0.54	BCBS OF VT GRP	18644	0.46	CIGNA HLTH GRP	170	0.00
Virginia	310988	ELEVANCE HLTH INC GRP	137137	0.44	UNITEDHEALTH GRP	67113	0.22	CAREFIRST INC GRP	59229	0.19
Washington	301183	PREMERA BLUE CROSS GRP	131664	0.44	CAMBIA HEALTH SOLUTIONS INC	95313	0.32	KAISER FOUNDATION GRP	54802	0.18
West Virginia	30343	HIGHMARK GRP	25816	0.85	UNITEDHEALTH GRP	2995	0.10	HEALTH PLAN GRP	1478	0.05
Wisconsin	167360	UNITEDHEALTH GRP	59141	0.35	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	31751	0.19	ELEVANCE HLTH INC GRP	31069	0.19
Wyoming	14649	BCBS OF WY	12644	0.86	UNITEDHEALTH GRP	1717	0.12	MONTANA HLTH COOPERATIVE	257	0.02

2020

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	11502013	UNITEDHEALTH GRP	2244943	0.20	HCSC GRP	1218581	0.11	KAISER FOUNDATION GRP	1072172	0.09
Alabama	197394	BCBS OF AL GRP	192756	0.98	UNITEDHEALTH GRP	3849	0.02	VIVA HLTH INC	789	0.00
Alaska	13721	PREMERA BLUE CROSS GRP	12817	0.93	OREGON DENTAL SERV GRP	590	0.04	CVS GRP	204	0.01
Arizona	153499	UNITEDHEALTH GRP	76622	0.50	BCBS OF AZ INC	50151	0.33	CVS GRP	15448	0.10
Arkansas	85077	ARKANSAS BCBS GRP	51199	0.60	UNITEDHEALTH GRP	19552	0.23	CENTENE CORP GRP	14326	0.17
California	2196671	KAISER FOUNDATION GRP	855512	0.39	BLUE SHIELD OF CA GRP	533548	0.24	ELEVANCE HLTH INC GRP	382290	0.17
Colorado	198898	UNITEDHEALTH GRP	120207	0.60	KAISER FOUNDATION GRP	63602	0.32	ELEVANCE HLTH INC GRP	7087	0.04
Connecticut	106583	UNITEDHEALTH GRP	51369	0.48	ELEVANCE HLTH INC GRP	31457	0.30	EMBLEM HLTH GRP	18452	0.17
Delaware	22539	HIGHMARK GRP	19968	0.89	UNITEDHEALTH GRP	1706	0.08	CVS GRP	866	0.04
District of Columbia	87030	CAREFIRST INC GRP	67297	0.77	UNITEDHEALTH GRP	13838	0.16	KAISER FOUNDATION GRP	4404	0.05
Florida	449587	GUIDEWELL MUT HOLDING GRP	211466	0.47	UNITEDHEALTH GRP	182511	0.41	HUMANA GRP	31441	0.07
Georgia	156861	HUMANA GRP	63157	0.40	UNITEDHEALTH GRP	50019	0.32	ELEVANCE HLTH INC GRP	27304	0.17
Hawaii	114150	HAWAII MEDICAL SERV ASSN	57478	0.50	KAISER FOUNDATION GRP	23843	0.21	UNIVERSITY HLTH ALLIANCE	21491	0.19
Idaho	90049	BLUE CROSS OF ID GRP	43944	0.49	CAMBIA HEALTH SOLUTIONS INC	21364	0.24	IHC INC GRP	16518	0.18
Illinois	513172	HCSC GRP	413261	0.81	UNITEDHEALTH GRP	77727	0.15	HUMANA GRP	10688	0.02
Indiana	65579	UNITEDHEALTH GRP	35435	0.54	PHP INDIANA GRP	17384	0.27	HUMANA GRP	5885	0.09
Iowa	147237	WELLMARK INC GRP	116718	0.79	UNITEDHEALTH GRP	27605	0.19	MEDICAL ASSOCIATES GRP	1963	0.01
Kansas	128374	BCBS OF KS GRP	96392	0.75	HUMANA GRP	12831	0.10	UNITEDHEALTH GRP	9720	0.08
Kentucky	63703	ELEVANCE HLTH INC GRP	34234	0.54	HUMANA GRP	17772	0.28	UNITEDHEALTH GRP	11666	0.18
Louisiana	177692	LOUISIANA HLTH SERV GRP	158530	0.89	UNITEDHEALTH GRP	11078	0.06	HUMANA GRP	8041	0.05
Maine	44884	HARVARD PILGRIM HLTH CARE GRP	21415	0.48	ELEVANCE HLTH INC GRP	11190	0.25	MAINE COMM HLTH OPTIONS	9114	0.20
Maryland	262978	CAREFIRST INC GRP	193126	0.73	UNITEDHEALTH GRP	58162	0.22	KAISER FOUNDATION GRP	10876	0.04
Massachusetts	406008	BCBS OF MA GRP	188251	0.46	TUFTS GRP	88526	0.22	MASS GENERAL BRIGHAM INC GRP	44570	0.11
Michigan	463187	BCBS OF MI GRP	295974	0.64	COREWELL HLTH GRP	97188	0.21	HENRY FORD HLTH SYSTEM GRP	34063	0.07
Minnesota	172672	HEALTHPARTNERS GRP	89601	0.52	BCBS OF MN GRP	79779	0.46	UNITEDHEALTH GRP	2620	0.02
Mississippi	86724	MISSISSIPPI INS GRP	77541	0.89	UNITEDHEALTH GRP	7791	0.09	HUMANA GRP	1391	0.02
Missouri	150436	UNITEDHEALTH GRP	73849	0.49	ELEVANCE HLTH INC GRP	49316	0.33	BCBS OF KC GRP	19568	0.13
Montana	43508	HCSC GRP	24795	0.57	PACIFICSOURCE HLTH PLAN GRP	16935	0.39	WMI MUT INS CO	922	0.02
Nebraska	42131	BCBS OF NE GRP	24485	0.58	UNITEDHEALTH GRP	17519	0.42	CVS GRP	127	0.00
Nevada	66386	UNITEDHEALTH GRP	55302	0.83	RENOWN HLTH GRP	6680	0.10	UNIVERSAL HLTH SERV INC GRP	2434	0.04
New Hampshire	61715	ELEVANCE HLTH INC GRP	24921	0.40	HARVARD PILGRIM HLTH CARE GRP	23679	0.38	TUFTS GRP	12346	0.20
New Jersey	299693	BCBS OF NJ GRP	208627	0.70	UNITEDHEALTH GRP	58418	0.19	INDEPENDENCE BLUE CROSS GRP	30711	0.10
New Mexico	47593	PRESBYTERIAN HLTHCARE SERV GRP	16237	0.34	HCSC GRP	14724	0.31	EVOLENT HLTH GRP	9445	0.20
New York	933950	UNITEDHEALTH GRP	483649	0.52	LIFETIME HLTHCARE GRP	170288	0.18	HEALTH NOW NY INC	87110	0.09
North Carolina	300228	UNITEDHEALTH GRP	154031	0.51	BCBS OF NC GRP	145609	0.48	CVS GRP	588	0.00
North Dakota	54715	BCBS OF ND	47634	0.87	SANFORD HLTH GRP	6729	0.12	UNITEDHEALTH GRP	353	0.01
Ohio	59397	UNITEDHEALTH GRP	35287	0.59	HUMANA GRP	10317	0.17	AULTMAN HLTH FOUNDATION GRP	7560	0.13
Oklahoma	172915	HCSC GRP	144526	0.84	COMMUNITYCARE GRP	14644	0.08	UNITEDHEALTH GRP	13607	0.08
Oregon	182633	CAMBIA HEALTH SOLUTIONS INC	68987	0.38	PROVIDENCE HLTH GRP	51003	0.28	KAISER FOUNDATION GRP	29418	0.16
Pennsylvania	515971	INDEPENDENCE BLUE CROSS GRP	181542	0.35	UPMC HLTH SYSTEM GRP	151674	0.29	HIGHMARK GRP	92303	0.18
Rhode Island	49480	BCBS OF RI	40575	0.82	TUFTS GRP	3904	0.08	UNITEDHEALTH GRP	3314	0.07
South Carolina	74470	BCBS OF SC GRP	61812	0.83	UNITEDHEALTH GRP	12625	0.17	CVS GRP	33	0.00
South Dakota	50131	WELLMARK INC GRP	35154	0.70	AVERA HLTH PLANS INC	11685	0.23	SANFORD HLTH GRP	3107	0.06
Tennessee	193596	BCBS OF TN GRP	123003	0.64	UNITEDHEALTH GRP	58272	0.30	HUMANA GRP	11567	0.06
Texas	753305	HCSC GRP	621275	0.82	UNITEDHEALTH GRP	67874	0.09	HUMANA GRP	47586	0.06
Utah	151983	IHC INC GRP	112055	0.74	CAMBIA HEALTH SOLUTIONS INC	31928	0.21	UNITEDHEALTH GRP	7067	0.05
Vermont	41470	BCBS OF VT GRP	20763	0.50	MVP GRP	20644	0.50	CIGNA HLTH GRP	63	0.00
Virginia	324660	ELEVANCE HLTH INC GRP	133415	0.41	UNITEDHEALTH GRP	78133	0.24	CAREFIRST INC GRP	58163	0.18
Washington	302105	PREMERA BLUE CROSS GRP	128038	0.42	CAMBIA HEALTH SOLUTIONS INC	94989	0.31	KAISER FOUNDATION GRP	58034	0.19
West Virginia	33030	HIGHMARK GRP	27539	0.83	UNITEDHEALTH GRP	4289	0.13	HEALTH PLAN GRP	1110	0.03
Wisconsin	177334	UNITEDHEALTH GRP	64405	0.36	ELEVANCE HLTH INC GRP	31512	0.18	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	29701	0.17
Wyoming	14912	BCBS OF WY	13097	0.88	UNITEDHEALTH GRP	1810	0.12	CVS GRP	4	0.00

2019

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	12566061	UNITEDHEALTH GRP	2486874	0.20	HCSC GRP	1211439	0.10	KAISER FOUNDATION GRP	1101000	0.09
Alabama	208360	BCBS OF AL GRP	202780	0.97	UNITEDHEALTH GRP	4718	0.02	VIVA HLTH INC	863	0.00
Alaska	14082	PREMERA BLUE CROSS GRP	13340	0.95	OREGON DENTAL SERV GRP	292	0.02	CVS GRP	288	0.02
Arizona	167522	UNITEDHEALTH GRP	85836	0.51	BCBS OF AZ INC	51396	0.31	CVS GRP	16264	0.10
Arkansas	84510	ARKANSAS BCBS GRP	48850	0.58	UNITEDHEALTH GRP	18209	0.22	CENTENE CORP GRP	17451	0.21
California	2238318	KAISER FOUNDATION GRP	871454	0.39	BLUE SHIELD OF CA GRP	553481	0.25	ELEVANCE HLTH INC GRP	384494	0.17
Colorado	260362	UNITEDHEALTH GRP	128887	0.50	KAISER FOUNDATION GRP	67925	0.26	ELEVANCE HLTH INC GRP	52655	0.20
Connecticut	128611	UNITEDHEALTH GRP	46509	0.36	ELEVANCE HLTH INC GRP	43298	0.34	EMBLEM HLTH GRP	22389	0.17
Delaware	23977	HIGHMARK GRP	21118	0.88	CVS GRP	1622	0.07	UNITEDHEALTH GRP	1237	0.05
District of Columbia	85808	CAREFIRST INC GRP	66543	0.78	UNITEDHEALTH GRP	13540	0.16	KAISER FOUNDATION GRP	4316	0.05
Florida	481587	UNITEDHEALTH GRP	225764	0.47	GUIDEWELL MUT HOLDING GRP	187496	0.39	HUMANA GRP	36609	0.08
Georgia	207905	HUMANA GRP	84349	0.41	UNITEDHEALTH GRP	58288	0.28	ELEVANCE HLTH INC GRP	47232	0.23
Hawaii	133927	HAWAII MEDICAL SERV ASSN	68318	0.51	KAISER FOUNDATION GRP	29749	0.22	UNIVERSITY HLTH ALLIANCE	22680	0.17
Idaho	87654	BLUE CROSS OF ID GRP	44194	0.50	CAMBIA HEALTH SOLUTIONS INC	22595	0.26	IHC INC GRP	13102	0.15
Illinois	527820	HCSC GRP	412457	0.78	UNITEDHEALTH GRP	88578	0.17	HUMANA GRP	14614	0.03
Indiana	160332	ELEVANCE HLTH INC GRP	83020	0.52	UNITEDHEALTH GRP	46778	0.29	PHP INDIANA GRP	17177	0.11
Iowa	157687	WELLMARK INC GRP	126764	0.80	UNITEDHEALTH GRP	27812	0.18	MEDICAL ASSOCIATES GRP	1889	0.01
Kansas	118816	BCBS OF KS GRP	77350	0.65	UNITEDHEALTH GRP	15886	0.13	HUMANA GRP	14947	0.13
Kentucky	91903	ELEVANCE HLTH INC GRP	48348	0.53	HUMANA GRP	26785	0.29	UNITEDHEALTH GRP	16767	0.18
Louisiana	186546	LOUISIANA HLTH SERV GRP	159090	0.85	HUMANA GRP	14055	0.08	UNITEDHEALTH GRP	13248	0.07
Maine	50786	HARVARD PILGRIM HLTH CARE GRP	27039	0.53	ELEVANCE HLTH INC GRP	11193	0.22	MAINE COMM HLTH OPTIONS	8700	0.17
Maryland	269764	CAREFIRST INC GRP	191873	0.71	UNITEDHEALTH GRP	65851	0.24	KAISER FOUNDATION GRP	10590	0.04
Massachusetts	421546	BCBS OF MA GRP	213768	0.51	TUFTS GRP	88179	0.21	HARVARD PILGRIM HLTH CARE GRP	39714	0.09
Michigan	466095	BCBS OF MI GRP	304664	0.65	COREWELL HLTH GRP	86012	0.18	HENRY FORD HLTH SYSTEM GRP	34723	0.07
Minnesota	270256	HEALTHPARTNERS GRP	110816	0.41	BCBS OF MN GRP	82942	0.31	MEDICA GRP	57736	0.21
Mississippi	88412	MISSISSIPPI INS GRP	77782	0.88	UNITEDHEALTH GRP	8932	0.10	HUMANA GRP	1699	0.02
Missouri	174823	UNITEDHEALTH GRP	77211	0.44	ELEVANCE HLTH INC GRP	61362	0.35	BCBS OF KC GRP	24309	0.14
Montana	45862	HCSC GRP	25330	0.55	PACIFICSOURCE HLTH PLAN GRP	19251	0.42	WMI MUT INS CO	965	0.02
Nebraska	56160	BCBS OF NE GRP	32602	0.58	UNITEDHEALTH GRP	23189	0.41	CVS GRP	369	0.01
Nevada	83469	UNITEDHEALTH GRP	55741	0.67	ELEVANCE HLTH INC GRP	12975	0.16	RENOWN HLTH GRP	8534	0.10
New Hampshire	67744	ELEVANCE HLTH INC GRP	26921	0.40	HARVARD PILGRIM HLTH CARE GRP	25778	0.38	TUFTS GRP	14498	0.21
New Jersey	316325	BCBS OF NJ GRP	209804	0.66	UNITEDHEALTH GRP	72148	0.23	INDEPENDENCE BLUE CROSS GRP	32584	0.10
New Mexico	50140	PRESBYTERIAN HLTHCARE SERV GRP	18061	0.36	HCSC GRP	14957	0.30	EVOLENT HLTH GRP	9886	0.20
New York	999218	UNITEDHEALTH GRP	523231	0.52	LIFETIME HLTHCARE GRP	176370	0.18	HEALTH NOW NY INC	87110	0.09
North Carolina	316467	UNITEDHEALTH GRP	173767	0.55	BCBS OF NC GRP	137684	0.44	FIRSTCAROLINACARE INS CO INC	3830	0.01
North Dakota	61009	BCBS OF ND	50784	0.83	SANFORD HLTH GRP	6466	0.11	MEDICA GRP	3606	0.06
Ohio	302345	MEDICAL MUT OF OH GRP	116339	0.38	ELEVANCE HLTH INC GRP	104491	0.35	UNITEDHEALTH GRP	43186	0.14
Oklahoma	178480	HCSC GRP	136828	0.77	COMMUNITYCARE GRP	22122	0.12	UNITEDHEALTH GRP	19252	0.11
Oregon	186295	PROVIDENCE HLTH GRP	58662	0.31	CAMBIA HEALTH SOLUTIONS INC	58292	0.31	KAISER FOUNDATION GRP	29250	0.16
Pennsylvania	534989	INDEPENDENCE BLUE CROSS GRP	182339	0.34	UPMC HLTH SYSTEM GRP	148644	0.28	HIGHMARK GRP	98021	0.18
Rhode Island	51450	BCBS OF RI	41388	0.80	TUFTS GRP	5359	0.10	UNITEDHEALTH GRP	3367	0.07
South Carolina	84008	BCBS OF SC GRP	67156	0.80	UNITEDHEALTH GRP	16686	0.20	CVS GRP	166	0.00
South Dakota	51685	WELLMARK INC GRP	36989	0.72	AVERA HLTH PLANS INC	11674	0.23	SANFORD HLTH GRP	2773	0.05
Tennessee	205991	BCBS OF TN GRP	134105	0.65	UNITEDHEALTH GRP	55210	0.27	HUMANA GRP	15929	0.08
Texas	790378	HCSC GRP	621868	0.79	UNITEDHEALTH GRP	88156	0.11	HUMANA GRP	60489	0.08
Utah	151584	IHC INC GRP	113994	0.75	CAMBIA HEALTH SOLUTIONS INC	29405	0.19	UNITEDHEALTH GRP	7089	0.05
Vermont	40748	BCBS OF VT GRP	24553	0.60	MVP GRP	16195	0.40	NA	NA	NA
Virginia	343105	ELEVANCE HLTH INC GRP	134624	0.39	UNITEDHEALTH GRP	91925	0.27	CAREFIRST INC GRP	55814	0.16
Washington	302095	PREMERA BLUE CROSS GRP	123257	0.41	CAMBIA HEALTH SOLUTIONS INC	94339	0.31	KAISER FOUNDATION GRP	62150	0.21
West Virginia	35878	HIGHMARK GRP	28943	0.81	UNITEDHEALTH GRP	5362	0.15	HEALTH PLAN GRP	1466	0.04
Wisconsin	187113	UNITEDHEALTH GRP	60059	0.32	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	29868	0.16	ELEVANCE HLTH INC GRP	28157	0.15
Wyoming	16111	BCBS OF WY	13819	0.86	UNITEDHEALTH GRP	2291	0.14	NA	NA	NA

2018

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	13110142	UNITEDHEALTH GRP	2512596	0.19	ELEVANCE HLTH INC GRP	1165696	0.09	HCSC GRP	1120596	0.09
Alabama	215430	BCBS OF AL GRP	207720	0.96	UNITEDHEALTH GRP	6565	0.03	VIVA HLTH INC	1146	0.01
Alaska	14428	PREMERA BLUE CROSS GRP	12301	0.85	CVS GRP	1285	0.09	OREGON DENTAL SERV GRP	498	0.03
Arizona	188181	UNITEDHEALTH GRP	89637	0.48	BCBS OF AZ INC	50656	0.27	CVS GRP	23280	0.12
Arkansas	83843	ARKANSAS BCBS GRP	52240	0.62	UNITEDHEALTH GRP	18990	0.23	CATHOLIC HLTH INITIATIVES GRP	12613	0.15
California	2242615	KAISER FOUNDATION GRP	871536	0.39	BLUE SHIELD OF CA GRP	542084	0.24	ELEVANCE HLTH INC GRP	365888	0.16
Colorado	262896	UNITEDHEALTH GRP	121099	0.46	KAISER FOUNDATION GRP	65091	0.25	ELEVANCE HLTH INC GRP	60317	0.23
Connecticut	150904	ELEVANCE HLTH INC GRP	64239	0.43	UNITEDHEALTH GRP	35187	0.23	EMBLEM HLTH GRP	28393	0.19
Delaware	25326	HIGHMARK GRP	21642	0.85	CVS GRP	2881	0.11	UNITEDHEALTH GRP	803	0.03
District of Columbia	84250	CAREFIRST INC GRP	66179	0.79	UNITEDHEALTH GRP	12078	0.14	KAISER FOUNDATION GRP	3903	0.05
Florida	503448	GUIDEWELL MUT HOLDING GRP	200375	0.40	UNITEDHEALTH GRP	189910	0.38	AVMED INC	38053	0.08
Georgia	254746	HUMANA GRP	100671	0.40	ELEVANCE HLTH INC GRP	72128	0.28	UNITEDHEALTH GRP	48943	0.19
Hawaii	127673	HAWAII MEDICAL SERV ASSN	62680	0.49	KAISER FOUNDATION GRP	29030	0.23	UNIVERSITY HLTH ALLIANCE	22799	0.18
Idaho	81403	BLUE CROSS OF ID GRP	39871	0.49	CAMBIA HEALTH SOLUTIONS INC	25592	0.31	IHC INC GRP	11323	0.14
Illinois	539804	HCSC GRP	396371	0.73	UNITEDHEALTH GRP	99422	0.18	HUMANA GRP	19405	0.04
Indiana	183011	ELEVANCE HLTH INC GRP	97675	0.53	UNITEDHEALTH GRP	54440	0.30	PHP INDIANA GRP	16230	0.09
Iowa	163207	WELLMARK INC GRP	134167	0.82	UNITEDHEALTH GRP	23750	0.15	CVS GRP	2592	0.02
Kansas	116337	BCBS OF KS GRP	66054	0.57	HUMANA GRP	18395	0.16	UNITEDHEALTH GRP	17634	0.15
Kentucky	111015	ELEVANCE HLTH INC GRP	56570	0.51	HUMANA GRP	37827	0.34	UNITEDHEALTH GRP	16186	0.15
Louisiana	192276	LOUISIANA HLTH SERV GRP	156714	0.82	HUMANA GRP	20184	0.10	UNITEDHEALTH GRP	14093	0.07
Maine	53975	HARVARD PILGRIM HLTH CARE GRP	28606	0.53	ELEVANCE HLTH INC GRP	11212	0.21	MAINE COMM HLTH OPTIONS	8775	0.16
Maryland	267990	CAREFIRST INC GRP	186258	0.70	UNITEDHEALTH GRP	68994	0.26	KAISER FOUNDATION GRP	9504	0.04
Massachusetts	435336	BCBS OF MA GRP	232012	0.53	TUFTS GRP	77735	0.18	HARVARD PILGRIM HLTH CARE GRP	45605	0.10
Michigan	470471	BCBS OF MI GRP	297625	0.63	COREWELL HLTH GRP	90226	0.19	HENRY FORD HLTH SYSTEM GRP	34465	0.07
Minnesota	290333	HEALTHPARTNERS GRP	127234	0.44	BCBS OF MN GRP	87935	0.30	MEDICA GRP	55024	0.19
Mississippi	88233	MISSISSIPPI INS GRP	76156	0.86	UNITEDHEALTH GRP	10000	0.11	HUMANA GRP	2077	0.02
Missouri	210904	ELEVANCE HLTH INC GRP	77073	0.37	UNITEDHEALTH GRP	75240	0.36	BCBS OF KC GRP	29708	0.14
Montana	44919	HCSC GRP	24740	0.55	PACIFICSOURCE HLTH PLAN GRP	18796	0.42	WMI MUT INS CO	1070	0.02
Nebraska	64219	BCBS OF NE GRP	36514	0.57	UNITEDHEALTH GRP	25147	0.39	CVS GRP	2558	0.04
Nevada	95584	UNITEDHEALTH GRP	61974	0.65	RENOWN HLTH GRP	12787	0.13	ELEVANCE HLTH INC GRP	8613	0.09
New Hampshire	70099	HARVARD PILGRIM HLTH CARE GRP	30132	0.43	ELEVANCE HLTH INC GRP	28519	0.41	TUFTS GRP	10694	0.15
New Jersey	341234	BCBS OF NJ GRP	217422	0.64	UNITEDHEALTH GRP	74303	0.22	INDEPENDENCE BLUE CROSS GRP	35305	0.10
New Mexico	51754	PRESBYTERIAN HLTHCARE SERV GRP	20071	0.39	EVOLENT HLTH GRP	12266	0.24	HCSC GRP	11642	0.22
New York	1048166	UNITEDHEALTH GRP	535087	0.51	LIFETIME HLTHCARE GRP	178477	0.17	HEALTH NOW NY INC	77870	0.07
North Carolina	315290	UNITEDHEALTH GRP	168503	0.53	BCBS OF NC GRP	135180	0.43	CVS GRP	7062	0.02
North Dakota	59469	BCBS OF ND	50228	0.84	SANFORD HLTH GRP	5208	0.09	MEDICA GRP	4032	0.07
Ohio	376997	ELEVANCE HLTH INC GRP	133320	0.35	MEDICAL MUT OF OH GRP	132123	0.35	UNITEDHEALTH GRP	49735	0.13
Oklahoma	181348	HCSC GRP	123264	0.68	COMMUNITYCARE GRP	29873	0.16	UNITEDHEALTH GRP	24339	0.13
Oregon	184274	PROVIDENCE HLTH GRP	69854	0.38	CAMBIA HEALTH SOLUTIONS INC	46331	0.25	KAISER FOUNDATION GRP	27991	0.15
Pennsylvania	578360	INDEPENDENCE BLUE CROSS GRP	181022	0.31	UPMC HLTH SYSTEM GRP	140466	0.24	HIGHMARK GRP	107477	0.19
Rhode Island	54060	BCBS OF RI	44074	0.82	TUFTS GRP	5120	0.09	UNITEDHEALTH GRP	3782	0.07
South Carolina	97212	BCBS OF SC GRP	80079	0.82	UNITEDHEALTH GRP	16421	0.17	CVS GRP	711	0.01
South Dakota	51758	WELLMARK INC GRP	38816	0.75	AVERA HLTH PLANS INC	10989	0.21	SANFORD HLTH GRP	1942	0.04
Tennessee	208790	BCBS OF TN GRP	134905	0.65	UNITEDHEALTH GRP	52646	0.25	HUMANA GRP	20655	0.10
Texas	813984	HCSC GRP	564579	0.69	UNITEDHEALTH GRP	117133	0.14	HUMANA GRP	84961	0.10
Utah	160151	IHC INC GRP	115414	0.72	CAMBIA HEALTH SOLUTIONS INC	26524	0.17	UNITEDHEALTH GRP	9824	0.06
Vermont	46158	BCBS OF VT GRP	30325	0.66	MVP GRP	15834	0.34	NA	NA	NA
Virginia	350614	ELEVANCE HLTH INC GRP	141506	0.40	UNITEDHEALTH GRP	85500	0.24	CAREFIRST INC GRP	52222	0.15
Washington	291736	PREMERA BLUE CROSS GRP	107376	0.37	CAMBIA HEALTH SOLUTIONS INC	94147	0.32	KAISER FOUNDATION GRP	65132	0.22
West Virginia	38378	HIGHMARK GRP	31111	0.81	UNITEDHEALTH GRP	4883	0.13	HEALTH PLAN GRP	2109	0.05
Wisconsin	209916	UNITEDHEALTH GRP	64404	0.31	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	29412	0.14	ELEVANCE HLTH INC GRP	25169	0.12
Wyoming	17642	BCBS OF WY	15159	0.86	UNITEDHEALTH GRP	2483	0.14	NA	NA	NA

2017

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	13391677	UNITEDHEALTH GRP	2260354	0.17	ELEVANCE HLTH INC GRP	1238593	0.09	HCSC GRP	1138683	0.09
Alabama	216370	BCBS OF AL GRP	207949	0.96	UNITEDHEALTH GRP	6402	0.03	VIVA HLTH INC	2019	0.01
Alaska	15801	PREMERA BLUE CROSS GRP	11160	0.71	AETNA GRP	2970	0.19	OREGON DENTAL SERV GRP	940	0.06
Arizona	196091	UNITEDHEALTH GRP	82248	0.42	BCBS OF AZ INC	51487	0.26	AETNA GRP	28441	0.15
Arkansas	84243	ARKANSAS BCBS GRP	54466	0.65	UNITEDHEALTH GRP	21048	0.25	CATHOLIC HLTH INITIATIVES GRP	8725	0.10
California	2211509	KAISER FOUNDATION GRP	829510	0.38	BLUE SHIELD OF CA GRP	479368	0.22	ELEVANCE HLTH INC GRP	372659	0.17
Colorado	249438	UNITEDHEALTH GRP	99857	0.40	ELEVANCE HLTH INC GRP	70052	0.28	KAISER FOUNDATION GRP	59464	0.24
Connecticut	167476	ELEVANCE HLTH INC GRP	67435	0.40	EMBLEM HLTH GRP	39156	0.23	AETNA GRP	23534	0.14
Delaware	29626	HIGHMARK GRP	22044	0.74	AETNA GRP	7240	0.24	UNITEDHEALTH GRP	343	0.01
District of Columbia	83620	CAREFIRST INC GRP	67236	0.80	UNITEDHEALTH GRP	10041	0.12	KAISER FOUNDATION GRP	3623	0.04
Florida	519587	GUIDEWELL MUT HOLDING GRP	220014	0.42	UNITEDHEALTH GRP	151872	0.29	AVMED INC	52412	0.10
Georgia	258182	HUMANA GRP	98707	0.38	ELEVANCE HLTH INC GRP	68417	0.26	AETNA GRP	43049	0.17
Hawaii	127115	HAWAII MEDICAL SERV ASSN	61461	0.48	KAISER FOUNDATION GRP	27284	0.21	UNIVERSITY HLTH ALLIANCE	23230	0.18
Idaho	77676	BLUE CROSS OF ID GRP	32681	0.42	CAMBIA HEALTH SOLUTIONS INC	28625	0.37	IHC INC GRP	13355	0.17
Illinois	551089	HCSC GRP	405396	0.74	UNITEDHEALTH GRP	91135	0.17	HUMANA GRP	24300	0.04
Indiana	177296	ELEVANCE HLTH INC GRP	96626	0.54	UNITEDHEALTH GRP	50755	0.29	PHP INDIANA GRP	13869	0.08
Iowa	166168	WELLMARK INC GRP	141617	0.85	UNITEDHEALTH GRP	18555	0.11	AETNA GRP	3387	0.02
Kansas	129032	BCBS OF KS GRP	80118	0.62	HUMANA GRP	19987	0.15	UNITEDHEALTH GRP	14303	0.11
Kentucky	120648	ELEVANCE HLTH INC GRP	60503	0.50	HUMANA GRP	43402	0.36	UNITEDHEALTH GRP	12864	0.11
Louisiana	189096	LOUISIANA HLTH SERV GRP	154408	0.82	HUMANA GRP	21679	0.11	UNITEDHEALTH GRP	10938	0.06
Maine	61614	HARVARD PILGRIM HLTH CARE GRP	22776	0.37	ELEVANCE HLTH INC GRP	17590	0.29	AETNA GRP	13046	0.21
Maryland	256825	CAREFIRST INC GRP	173035	0.67	UNITEDHEALTH GRP	53591	0.21	EVERGREEN HLTH COOP INC	13155	0.05
Massachusetts	446194	BCBS OF MA GRP	226608	0.51	TUFTS GRP	65145	0.15	HARVARD PILGRIM HLTH CARE GRP	64968	0.15
Michigan	446294	BCBS OF MI GRP	259198	0.58	COREWELL HLTH GRP	97815	0.22	HENRY FORD HLTH SYSTEM GRP	33947	0.08
Minnesota	295584	HEALTHPARTNERS GRP	131729	0.45	BCBS OF MN GRP	103601	0.35	PREFERREDONE GRP	30796	0.10
Mississippi	86743	MISSISSIPPI INS GRP	74554	0.86	UNITEDHEALTH GRP	9890	0.11	HUMANA GRP	2298	0.03
Missouri	225366	ELEVANCE HLTH INC GRP	89864	0.40	UNITEDHEALTH GRP	63488	0.28	BCBS OF KC GRP	30549	0.14
Montana	48349	HCSC GRP	32879	0.68	PACIFICSOURCE HLTH PLAN GRP	14124	0.29	WMI MUT INS CO	1102	0.02
Nebraska	69474	BCBS OF NE GRP	45243	0.65	UNITEDHEALTH GRP	20108	0.29	AETNA GRP	4123	0.06
Nevada	96063	UNITEDHEALTH GRP	55358	0.58	UNIVERSAL HLTH SERV INC GRP	11554	0.12	RENOWN HLTH GRP	10954	0.11
New Hampshire	68034	HARVARD PILGRIM HLTH CARE GRP	33843	0.50	ELEVANCE HLTH INC GRP	29464	0.43	TUFTS GRP	3304	0.05
New Jersey	397173	BCBS OF NJ GRP	222446	0.56	UNITEDHEALTH GRP	72995	0.18	AETNA GRP	58054	0.15
New Mexico	53496	PRESBYTERIAN HLTHCARE SERV GRP	18458	0.35	NEW MEXICO HLTH CONNECTIONS	15500	0.29	HCSC GRP	13456	0.25
New York	1115079	UNITEDHEALTH GRP	518716	0.47	LIFETIME HLTHCARE GRP	186143	0.17	HEALTH NOW NY INC	86190	0.08
North Carolina	289295	BCBS OF NC GRP	135449	0.47	UNITEDHEALTH GRP	133226	0.46	AETNA GRP	14893	0.05
North Dakota	59231	BCBS OF ND	50381	0.85	SANFORD HLTH GRP	4568	0.08	MEDICA GRP	4282	0.07
Ohio	435056	ELEVANCE HLTH INC GRP	160712	0.37	MEDICAL MUT OF OH GRP	140215	0.32	UNITEDHEALTH GRP	51512	0.12
Oklahoma	185408	HCSC GRP	127028	0.69	COMMUNITYCARE GRP	28124	0.15	UNITEDHEALTH GRP	24576	0.13
Oregon	179637	PROVIDENCE HLTH GRP	67520	0.38	CAMBIA HEALTH SOLUTIONS INC	37397	0.21	KAISER FOUNDATION GRP	25816	0.14
Pennsylvania	595333	INDEPENDENCE BLUE CROSS GRP	186482	0.31	UPMC HLTH SYSTEM GRP	135262	0.23	HIGHMARK GRP	118798	0.20
Rhode Island	56519	BCBS OF RI	46787	0.83	UNITEDHEALTH GRP	5812	0.10	TUFTS GRP	3171	0.06
South Carolina	101609	BCBS OF SC GRP	88321	0.87	UNITEDHEALTH GRP	11649	0.11	AETNA GRP	1639	0.02
South Dakota	56074	WELLMARK INC GRP	44023	0.79	AVERA HLTH PLANS INC	9558	0.17	SANFORD HLTH GRP	2463	0.04
Tennessee	207504	BCBS OF TN GRP	132025	0.64	UNITEDHEALTH GRP	50580	0.24	HUMANA GRP	23732	0.11
Texas	856806	HCSC GRP	559924	0.65	UNITEDHEALTH GRP	137892	0.16	HUMANA GRP	98111	0.11
Utah	167489	IHC INC GRP	113579	0.68	CAMBIA HEALTH SOLUTIONS INC	27024	0.16	UNITEDHEALTH GRP	14038	0.08
Vermont	47416	BCBS OF VT GRP	41125	0.87	MVP GRP	6291	0.13	NA	NA	NA
Virginia	345166	ELEVANCE HLTH INC GRP	150118	0.43	UNITEDHEALTH GRP	53064	0.15	CAREFIRST INC GRP	50247	0.15
Washington	284215	PREMERA BLUE CROSS GRP	102278	0.36	CAMBIA HEALTH SOLUTIONS INC	81000	0.28	KAISER FOUNDATION GRP	70878	0.25
West Virginia	38995	HIGHMARK GRP	32655	0.84	AETNA GRP	2778	0.07	HEALTH PLAN GRP	1936	0.05
Wisconsin	230815	UNITEDHEALTH GRP	64998	0.28	ELEVANCE HLTH INC GRP	27592	0.12	UNIVERSITY HLTH CARE & GUNDERSEN LUTHERAN GRP	26916	0.12
Wyoming	18754	BCBS OF WY	16134	0.86	UNITEDHEALTH GRP	2551	0.14	AETNA GRP	69	0.00

2016

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	14101649	UNITEDHEALTH GRP	2355188	0.17	ELEVANCE HLTH INC GRP	1341666	0.10	HCSC GRP	1094546	0.08
Alabama	218354	BCBS OF AL GRP	211475	0.97	UNITEDHEALTH GRP	4430	0.02	VIVA HLTH INC	2435	0.01
Alaska	17257	PREMERA BLUE CROSS GRP	10353	0.60	OREGON DENTAL SERV GRP	3314	0.19	AETNA GRP	2384	0.14
Arizona	172100	UNITEDHEALTH GRP	52666	0.31	BCBS OF AZ INC	47197	0.27	AETNA GRP	31778	0.18
Arkansas	99147	ARKANSAS BCBS GRP	61147	0.62	UNITEDHEALTH GRP	27834	0.28	CATHOLIC HLTH INITIATIVES GRP	10150	0.10
California	2269408	KAISER FOUNDATION GRP	820982	0.36	BLUE SHIELD OF CA GRP	451797	0.20	ELEVANCE HLTH INC GRP	427267	0.19
Colorado	240515	UNITEDHEALTH GRP	80341	0.33	ELEVANCE HLTH INC GRP	61990	0.26	KAISER FOUNDATION GRP	53824	0.22
Connecticut	166597	EMBLEM HLTH GRP	55634	0.33	ELEVANCE HLTH INC GRP	38213	0.23	AETNA GRP	33552	0.20
Delaware	31158	HIGHMARK GRP	23069	0.74	AETNA GRP	7692	0.25	UNITEDHEALTH GRP	398	0.01
District of Columbia	89280	CAREFIRST INC GRP	73210	0.82	UNITEDHEALTH GRP	9131	0.10	KAISER FOUNDATION GRP	3869	0.04
Florida	608815	GUIDEWELL MUT HOLDING GRP	225848	0.37	UNITEDHEALTH GRP	223858	0.37	AETNA GRP	56167	0.09
Georgia	248889	HUMANA GRP	89067	0.36	ELEVANCE HLTH INC GRP	61188	0.25	AETNA GRP	54884	0.22
Hawaii	130396	HAWAII MEDICAL SERV ASSN	62845	0.48	KAISER FOUNDATION GRP	28121	0.22	UNIVERSITY HLTH ALLIANCE	23339	0.18
Idaho	75165	BLUE CROSS OF ID GRP	35922	0.48	CAMBIA HEALTH SOLUTIONS INC	23726	0.32	IHC INC GRP	13970	0.19
Illinois	518222	HCSC GRP	366587	0.71	UNITEDHEALTH GRP	78664	0.15	HUMANA GRP	28817	0.06
Indiana	177256	ELEVANCE HLTH INC GRP	93179	0.53	UNITEDHEALTH GRP	49205	0.28	PHP INDIANA GRP	13241	0.07
Iowa	156231	WELLMARK INC GRP	130665	0.84	UNITEDHEALTH GRP	18640	0.12	AETNA GRP	3826	0.02
Kansas	138273	BCBS OF KS GRP	89317	0.65	HUMANA GRP	17974	0.13	UNITEDHEALTH GRP	12982	0.09
Kentucky	125044	ELEVANCE HLTH INC GRP	62090	0.50	HUMANA GRP	47984	0.38	UNITEDHEALTH GRP	10385	0.08
Louisiana	193775	LOUISIANA HLTH SERV GRP	147793	0.76	HUMANA GRP	21307	0.11	UNITEDHEALTH GRP	20900	0.11
Maine	64342	HARVARD PILGRIM HLTH CARE GRP	23990	0.37	ELEVANCE HLTH INC GRP	16430	0.26	AETNA GRP	13147	0.20
Maryland	256684	CAREFIRST INC GRP	173134	0.67	UNITEDHEALTH GRP	40483	0.16	EVERGREEN HLTH COOP INC	23503	0.09
Massachusetts	465267	BCBS OF MA GRP	204490	0.44	HARVARD PILGRIM HLTH CARE GRP	110052	0.24	TUFTS GRP	55275	0.12
Michigan	436515	BCBS OF MI GRP	248352	0.57	COREWELL HLTH GRP	97831	0.22	UNITEDHEALTH GRP	33709	0.08
Minnesota	257978	HEALTHPARTNERS GRP	116981	0.45	BCBS OF MN GRP	109702	0.43	PREFERREDONE GRP	17623	0.07
Mississippi	85131	MISSISSIPPI INS GRP	72626	0.85	UNITEDHEALTH GRP	9604	0.11	HUMANA GRP	2575	0.03
Missouri	229285	ELEVANCE HLTH INC GRP	94264	0.41	UNITEDHEALTH GRP	55943	0.24	BCBS OF KC GRP	33746	0.15
Montana	46939	HCSC GRP	37598	0.80	PACIFICSOURCE HLTH PLAN GRP	7279	0.16	WMI MUT INS CO	1169	0.02
Nebraska	72428	BCBS OF NE GRP	38103	0.53	UNITEDHEALTH GRP	28874	0.40	AETNA GRP	5389	0.07
Nevada	90111	UNITEDHEALTH GRP	47783	0.53	UNIVERSAL HLTH SERV INC GRP	12399	0.14	ELEVANCE HLTH INC GRP	10094	0.11
New Hampshire	70891	HARVARD PILGRIM HLTH CARE GRP	32460	0.46	ELEVANCE HLTH INC GRP	31483	0.44	MAINE COMM HLTH OPTIONS	6192	0.09
New Jersey	449110	BCBS OF NJ GRP	239092	0.53	AETNA GRP	80869	0.18	UNITEDHEALTH GRP	71093	0.16
New Mexico	51881	PRESBYTERIAN HLTHCARE SERV GRP	16490	0.32	HCSC GRP	15767	0.30	NEW MEXICO HLTH CONNECTIONS	14364	0.28
New York	1180566	UNITEDHEALTH GRP	546656	0.46	LIFETIME HLTHCARE GRP	195457	0.17	AETNA GRP	101518	0.09
North Carolina	267198	BCBS OF NC GRP	149390	0.56	UNITEDHEALTH GRP	82441	0.31	AETNA GRP	29540	0.11
North Dakota	59757	BCBS OF ND	49917	0.84	SANFORD HLTH GRP	5264	0.09	MEDICA GRP	4542	0.08
Ohio	672093	ELEVANCE HLTH INC GRP	244769	0.36	MEDICAL MUT OF OH GRP	202005	0.30	UNITEDHEALTH GRP	100467	0.15
Oklahoma	177368	HCSC GRP	130422	0.74	COMMUNITYCARE GRP	21008	0.12	UNITEDHEALTH GRP	18977	0.11
Oregon	177421	PROVIDENCE HLTH GRP	49974	0.28	KAISER FOUNDATION GRP	25838	0.15	CAMBIA HEALTH SOLUTIONS INC	24676	0.14
Pennsylvania	647402	INDEPENDENCE BLUE CROSS GRP	192524	0.30	HIGHMARK GRP	131791	0.20	UPMC HLTH SYSTEM GRP	123121	0.19
Rhode Island	57111	BCBS OF RI	47032	0.82	UNITEDHEALTH GRP	7484	0.13	TUFTS GRP	2044	0.04
South Carolina	109335	BCBS OF SC GRP	95345	0.87	UNITEDHEALTH GRP	10670	0.10	AETNA GRP	3277	0.03
South Dakota	52035	WELLMARK INC GRP	35322	0.68	AVERA HLTH PLANS INC	14335	0.28	SANFORD HLTH GRP	2364	0.05
Tennessee	284395	BCBS OF TN GRP	182076	0.64	UNITEDHEALTH GRP	72460	0.25	HUMANA GRP	27780	0.10
Texas	950904	HCSC GRP	544173	0.57	UNITEDHEALTH GRP	232556	0.24	HUMANA GRP	97344	0.10
Utah	199770	IHC INC GRP	122868	0.62	CAMBIA HEALTH SOLUTIONS INC	36651	0.18	UNITEDHEALTH GRP	24815	0.12
Vermont	46789	BCBS OF VT GRP	41712	0.89	MVP GRP	5074	0.11	CIGNA HLTH GRP	4	0.00
Virginia	352059	ELEVANCE HLTH INC GRP	156133	0.44	AETNA GRP	61578	0.17	CAREFIRST INC GRP	53661	0.15
Washington	284754	PREMERA BLUE CROSS GRP	151458	0.53	CAMBIA HEALTH SOLUTIONS INC	55727	0.20	KAISER FOUNDATION GRP	45072	0.16
West Virginia	41835	HIGHMARK GRP	34128	0.82	AETNA GRP	5359	0.13	HEALTH PLAN GRP	1658	0.04
Wisconsin	269738	UNITEDHEALTH GRP	104416	0.39	ELEVANCE HLTH INC GRP	24542	0.09	HUMANA GRP	23050	0.09
Wyoming	18675	BCBS OF WY	15884	0.85	UNITEDHEALTH GRP	2257	0.12	ASSURANT INC GRP	367	0.02

2015

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	14610384	UNITEDHEALTH GRP	2115226	0.14	ELEVANCE HLTH INC GRP	1508291	0.10	HCSC GRP	1226865	0.08
Alabama	236214	BCBS OF AL GRP	229050	0.97	UNITEDHEALTH GRP	4383	0.02	VIVA HLTH INC	2691	0.01
Alaska	27131	PREMERA BLUE CROSS GRP	19148	0.71	ASSURANT INC GRP	2694	0.10	OREGON DENTAL SERV GRP	2238	0.08
Arizona	177997	BCBS OF AZ INC	44576	0.25	UNITEDHEALTH GRP	38592	0.22	HEALTH NET INC GRP	36812	0.21
Arkansas	127552	ARKANSAS BCBS GRP	85851	0.67	UNITEDHEALTH GRP	25615	0.20	CATHOLIC HLTH INITIATIVES GRP	15640	0.12
California	1951967	KAISER FOUNDATION GRP	674157	0.35	ELEVANCE HLTH INC GRP	420358	0.22	BLUE SHIELD OF CA GRP	350026	0.18
Colorado	208204	ELEVANCE HLTH INC GRP	58324	0.28	KAISER FOUNDATION GRP	52367	0.25	UNITEDHEALTH GRP	50279	0.24
Connecticut	175813	EMBLEM HLTH GRP	65982	0.38	ELEVANCE HLTH INC GRP	38720	0.22	AETNA GRP	36264	0.21
Delaware	31009	HIGHMARK GRP	21578	0.70	AETNA GRP	9124	0.29	UNITEDHEALTH GRP	302	0.01
District of Columbia	89715	CAREFIRST INC GRP	75708	0.84	UNITEDHEALTH GRP	8525	0.10	KAISER FOUNDATION GRP	3977	0.04
Florida	659137	GUIDEWELL MUT HOLDING GRP	232872	0.35	UNITEDHEALTH GRP	215700	0.33	AETNA GRP	89229	0.14
Georgia	396878	ELEVANCE HLTH INC GRP	115985	0.29	HUMANA GRP	109782	0.28	AETNA GRP	88436	0.22
Hawaii	129893	HAWAII MEDICAL SERV ASSN	61369	0.47	KAISER FOUNDATION GRP	27125	0.21	UNIVERSITY HLTH ALLIANCE	23581	0.18
Idaho	77402	BLUE CROSS OF ID GRP	41625	0.54	CAMBIA HEALTH SOLUTIONS INC	22698	0.29	IHC INC GRP	9734	0.13
Illinois	509380	HCSC GRP	335915	0.66	UNITEDHEALTH GRP	80448	0.16	HUMANA GRP	36856	0.07
Indiana	263960	ELEVANCE HLTH INC GRP	144315	0.55	UNITEDHEALTH GRP	63434	0.24	PHP INDIANA GRP	22304	0.08
Iowa	152091	WELLMARK INC GRP	119483	0.79	UNITEDHEALTH GRP	22607	0.15	AETNA GRP	4702	0.03
Kansas	151206	BCBS OF KS GRP	97732	0.65	HUMANA GRP	17754	0.12	UNITEDHEALTH GRP	13062	0.09
Kentucky	132736	ELEVANCE HLTH INC GRP	67463	0.51	HUMANA GRP	52011	0.39	UNITEDHEALTH GRP	7619	0.06
Louisiana	263020	LOUISIANA HLTH SERV GRP	201065	0.76	HUMANA GRP	36194	0.14	UNITEDHEALTH GRP	17997	0.07
Maine	64196	HARVARD PILGRIM HLTH CARE GRP	28119	0.44	ELEVANCE HLTH INC GRP	17536	0.27	AETNA GRP	14311	0.22
Maryland	259216	CAREFIRST INC GRP	174392	0.67	UNITEDHEALTH GRP	34508	0.13	AETNA GRP	26457	0.10
Massachusetts	473723	BCBS OF MA GRP	201086	0.42	HARVARD PILGRIM HLTH CARE GRP	119830	0.25	TUFTS GRP	54600	0.12
Michigan	449800	BCBS OF MI GRP	245681	0.55	COREWELL HLTH GRP	97005	0.22	UNITEDHEALTH GRP	34141	0.08
Minnesota	269006	HEALTHPARTNERS GRP	117376	0.44	BCBS OF MN GRP	117205	0.44	PREFERREDONE GRP	18061	0.07
Mississippi	81859	MISSISSIPPI INS GRP	68034	0.83	UNITEDHEALTH GRP	10944	0.13	HUMANA GRP	2718	0.03
Missouri	234826	ELEVANCE HLTH INC GRP	101800	0.43	UNITEDHEALTH GRP	52486	0.22	AETNA GRP	31894	0.14
Montana	44111	HCSC GRP	31248	0.71	PACIFICSOURCE HLTH PLAN GRP	9085	0.21	MONTANA HLTH COOPERATIVE	1434	0.03
Nebraska	75285	BCBS OF NE GRP	30088	0.40	UNITEDHEALTH GRP	26092	0.35	AETNA GRP	14223	0.19
Nevada	86059	UNITEDHEALTH GRP	42698	0.50	ELEVANCE HLTH INC GRP	12220	0.14	AETNA GRP	10585	0.12
New Hampshire	71269	ELEVANCE HLTH INC GRP	40177	0.56	HARVARD PILGRIM HLTH CARE GRP	27865	0.39	MAINE COMM HLTH OPTIONS	2621	0.04
New Jersey	495370	BCBS OF NJ GRP	269640	0.54	AETNA GRP	88703	0.18	UNITEDHEALTH GRP	76974	0.16
New Mexico	54067	HCSC GRP	20482	0.38	PRESBYTERIAN HLTHCARE SERV GRP	17841	0.33	NEW MEXICO HLTH CONNECTIONS	8948	0.17
New York	1045845	UNITEDHEALTH GRP	442974	0.42	LIFETIME HLTHCARE GRP	181051	0.17	AETNA GRP	120816	0.12
North Carolina	268220	BCBS OF NC GRP	163349	0.61	UNITEDHEALTH GRP	61323	0.23	AETNA GRP	37672	0.14
North Dakota	62907	BCBS OF ND	51963	0.83	MEDICA GRP	5588	0.09	SANFORD HLTH GRP	5148	0.08
Ohio	733980	ELEVANCE HLTH INC GRP	275360	0.38	MEDICAL MUT OF OH GRP	222826	0.30	UNITEDHEALTH GRP	93553	0.13
Oklahoma	171490	HCSC GRP	122998	0.72	UNITEDHEALTH GRP	19886	0.12	COMMUNITYCARE GRP	17526	0.10
Oregon	175701	PROVIDENCE HLTH GRP	28251	0.16	KAISER FOUNDATION GRP	27309	0.16	CAMBIA HEALTH SOLUTIONS INC	24173	0.14
Pennsylvania	745470	INDEPENDENCE BLUE CROSS GRP	195079	0.26	HIGHMARK GRP	167202	0.22	UPMC HLTH SYSTEM GRP	131366	0.18
Rhode Island	62002	BCBS OF RI	48870	0.79	UNITEDHEALTH GRP	11769	0.19	TUFTS GRP	1101	0.02
South Carolina	107006	BCBS OF SC GRP	87504	0.82	UNITEDHEALTH GRP	12622	0.12	AETNA GRP	6059	0.06
South Dakota	48000	WELLMARK INC GRP	29463	0.61	SOUTH DAKOTA STATE MED HOLDING CO	11789	0.25	AVERA HLTH PLANS INC	4031	0.08
Tennessee	300064	BCBS OF TN GRP	197995	0.66	UNITEDHEALTH GRP	59548	0.20	HUMANA GRP	36279	0.12
Texas	1189247	HCSC GRP	716223	0.60	UNITEDHEALTH GRP	211675	0.18	HUMANA GRP	142529	0.12
Utah	211863	IHC INC GRP	116880	0.55	CAMBIA HEALTH SOLUTIONS INC	35795	0.17	UNITEDHEALTH GRP	25884	0.12
Vermont	40425	BCBS OF VT GRP	35840	0.89	MVP GRP	4499	0.11	CIGNA HLTH GRP	86	0.00
Virginia	373581	ELEVANCE HLTH INC GRP	167920	0.45	AETNA GRP	71173	0.19	CAREFIRST INC GRP	55910	0.15
Washington	247370	PREMERA BLUE CROSS GRP	139370	0.56	CAMBIA HEALTH SOLUTIONS INC	43523	0.18	KAISER FOUNDATION GRP	25537	0.10
West Virginia	48459	HIGHMARK GRP	39447	0.81	AETNA GRP	7133	0.15	HEALTH PLAN GRP	1323	0.03
Wisconsin	337115	UNITEDHEALTH GRP	110364	0.33	ELEVANCE HLTH INC GRP	40502	0.12	HUMANA GRP	37870	0.11
Wyoming	21548	BCBS OF WY	15053	0.70	ASSURANT INC GRP	3453	0.16	UNITEDHEALTH GRP	1430	0.07

2014

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	15967227	UNITEDHEALTH GRP	2279157	0.14	ELEVANCE HLTH INC GRP	1794379	0.11	AETNA GRP	1306836	0.08
Alabama	271528	BCBS OF AL GRP	264390	0.97	UNITEDHEALTH GRP	4870	0.02	VIVA HLTH INC	2119	0.01
Alaska	28616	PREMERA BLUE CROSS GRP	18528	0.65	ASSURANT INC GRP	4182	0.15	AETNA GRP	2810	0.10
Arizona	188706	BCBS OF AZ INC	43195	0.23	HEALTH NET INC GRP	42047	0.22	UNITEDHEALTH GRP	41096	0.22
Arkansas	128996	ARKANSAS BCBS GRP	85207	0.66	UNITEDHEALTH GRP	26010	0.20	CATHOLIC HLTH INITIATIVES GRP	16875	0.13
California	2042362	KAISER FOUNDATION GRP	650870	0.32	ELEVANCE HLTH INC GRP	495678	0.24	BLUE SHIELD OF CA GRP	390906	0.19
Colorado	221410	ELEVANCE HLTH INC GRP	61682	0.28	UNITEDHEALTH GRP	57614	0.26	KAISER FOUNDATION GRP	55446	0.25
Connecticut	206545	ELEVANCE HLTH INC GRP	73510	0.36	EMBLEM HLTH GRP	58039	0.28	AETNA GRP	44089	0.21
Delaware	40629	HIGHMARK GRP	28244	0.70	AETNA GRP	11662	0.29	UNITEDHEALTH GRP	274	0.01
District of Columbia	90806	CAREFIRST INC GRP	75247	0.83	UNITEDHEALTH GRP	9404	0.10	KAISER FOUNDATION GRP	3966	0.04
Florida	699612	GUIDEWELL MUT HOLDING GRP	253362	0.36	UNITEDHEALTH GRP	232463	0.33	AETNA GRP	101679	0.15
Georgia	428561	ELEVANCE HLTH INC GRP	129227	0.30	AETNA GRP	115278	0.27	HUMANA GRP	101382	0.24
Hawaii	163615	HAWAII MEDICAL SERV ASSN	91154	0.56	KAISER FOUNDATION GRP	26804	0.16	UNIVERSITY HLTH ALLIANCE	26623	0.16
Idaho	79401	BLUE CROSS OF ID GRP	39674	0.50	CAMBIA HEALTH SOLUTIONS INC	25673	0.32	PACIFICSOURCE HLTH PLAN GRP	6003	0.08
Illinois	555032	HCSC GRP	346352	0.62	UNITEDHEALTH GRP	92239	0.17	HUMANA GRP	54139	0.10
Indiana	290444	ELEVANCE HLTH INC GRP	176610	0.61	UNITEDHEALTH GRP	52478	0.18	PHP INDIANA GRP	26044	0.09
Iowa	149544	WELLMARK INC GRP	98937	0.66	UNITEDHEALTH GRP	27430	0.18	COOPORTUNITY HLTH	10032	0.07
Kansas	173208	BCBS OF KS GRP	108772	0.63	AETNA GRP	20784	0.12	HUMANA GRP	15481	0.09
Kentucky	144484	ELEVANCE HLTH INC GRP	82571	0.57	HUMANA GRP	45624	0.32	UNITEDHEALTH GRP	9444	0.07
Louisiana	282198	LOUISIANA HLTH SERV GRP	223160	0.79	HUMANA GRP	30263	0.11	UNITEDHEALTH GRP	18184	0.06
Maine	69424	HARVARD PILGRIM HLTH CARE GRP	28630	0.41	ELEVANCE HLTH INC GRP	23628	0.34	AETNA GRP	16054	0.23
Maryland	287098	CAREFIRST INC GRP	197751	0.69	AETNA GRP	41715	0.15	UNITEDHEALTH GRP	37229	0.13
Massachusetts	525166	BCBS OF MA GRP	239450	0.46	HARVARD PILGRIM HLTH CARE GRP	119746	0.23	TUFTS GRP	65272	0.12
Michigan	499066	BCBS OF MI GRP	287465	0.58	COREWELL HLTH GRP	100352	0.20	UNITEDHEALTH GRP	29445	0.06
Minnesota	281904	BCBS OF MN GRP	105627	0.37	HEALTHPARTNERS GRP	105235	0.37	MEDICA GRP	45961	0.16
Mississippi	83871	MISSISSIPPI INS GRP	67327	0.80	UNITEDHEALTH GRP	12671	0.15	HUMANA GRP	3110	0.04
Missouri	266879	ELEVANCE HLTH INC GRP	122820	0.46	UNITEDHEALTH GRP	45178	0.17	AETNA GRP	41834	0.16
Montana	49917	HCSC GRP	33260	0.67	PACIFICSOURCE HLTH PLAN GRP	11926	0.24	ASSURANT INC GRP	1897	0.04
Nebraska	82363	BCBS OF NE GRP	36187	0.44	AETNA GRP	17562	0.21	COOPORTUNITY HLTH	14708	0.18
Nevada	98048	UNITEDHEALTH GRP	36115	0.37	ELEVANCE HLTH INC GRP	22378	0.23	AETNA GRP	16238	0.17
New Hampshire	76295	ELEVANCE HLTH INC GRP	50256	0.66	HARVARD PILGRIM HLTH CARE GRP	24515	0.32	MVP GRP	890	0.01
New Jersey	621524	BCBS OF NJ GRP	373926	0.60	UNITEDHEALTH GRP	86002	0.14	INDEPENDENCE BLUE CROSS GRP	80693	0.13
New Mexico	53430	HCSC GRP	25060	0.47	PRESBYTERIAN HLTHCARE SERV GRP	19609	0.37	UNITEDHEALTH GRP	6867	0.13
New York	1172003	UNITEDHEALTH GRP	557494	0.48	LIFETIME HLTHCARE GRP	195720	0.17	AETNA GRP	106112	0.09
North Carolina	298682	BCBS OF NC GRP	196032	0.66	UNITEDHEALTH GRP	61525	0.21	AETNA GRP	34791	0.12
North Dakota	65395	BCBS OF ND	55247	0.84	MEDICA GRP	6818	0.10	SANFORD HLTH GRP	2463	0.04
Ohio	814269	ELEVANCE HLTH INC GRP	318754	0.39	MEDICAL MUT OF OH GRP	251951	0.31	UNITEDHEALTH GRP	91054	0.11
Oklahoma	178237	HCSC GRP	117933	0.66	UNITEDHEALTH GRP	23164	0.13	AETNA GRP	18901	0.11
Oregon	191942	PACIFICSOURCE HLTH PLAN GRP	35619	0.19	CAMBIA HEALTH SOLUTIONS INC	31172	0.16	KAISER FOUNDATION GRP	29906	0.16
Pennsylvania	821069	INDEPENDENCE BLUE CROSS GRP	191406	0.23	HIGHMARK GRP	148898	0.18	UPMC HLTH SYSTEM GRP	137560	0.17
Rhode Island	67673	BCBS OF RI	52807	0.78	UNITEDHEALTH GRP	14179	0.21	TUFTS GRP	652	0.01
South Carolina	113330	BCBS OF SC GRP	87521	0.77	UNITEDHEALTH GRP	15673	0.14	AETNA GRP	9019	0.08
South Dakota	48293	WELLMARK INC GRP	28906	0.60	SOUTH DAKOTA STATE MED HOLDING CO	11854	0.25	AVERA HLTH PLANS INC	4354	0.09
Tennessee	313311	BCBS OF TN GRP	218482	0.70	UNITEDHEALTH GRP	53180	0.17	HUMANA GRP	32183	0.10
Texas	1256282	HCSC GRP	718646	0.57	UNITEDHEALTH GRP	223240	0.18	HUMANA GRP	161502	0.13
Utah	234617	IHC INC GRP	112301	0.48	CAMBIA HEALTH SOLUTIONS INC	42695	0.18	AETNA GRP	35081	0.15
Vermont	42211	BCBS OF VT GRP	34712	0.82	MVP GRP	7295	0.17	CIGNA HLTH GRP	204	0.00
Virginia	390850	ELEVANCE HLTH INC GRP	173100	0.44	CAREFIRST INC GRP	57435	0.15	SENTARA HLTH MGMT GRP	57323	0.15
Washington	235696	PREMERA BLUE CROSS GRP	106455	0.45	CAMBIA HEALTH SOLUTIONS INC	53578	0.23	KAISER FOUNDATION GRP	29442	0.12
West Virginia	50858	HIGHMARK GRP	40919	0.80	AETNA GRP	8084	0.16	HEALTH PLAN GRP	1007	0.02
Wisconsin	469228	DEAN HLTH GRP	138242	0.29	UNITEDHEALTH GRP	110271	0.24	ELEVANCE HLTH INC GRP	44888	0.10
Wyoming	22599	BCBS OF WY	14734	0.65	ASSURANT INC GRP	4727	0.21	UNITEDHEALTH GRP	1536	0.07

2013

Location	Total Small Group Market - Enrollment	Largest Insurer - Insurer Name	Largest Insurer - Enrollment	Largest Insurer - Market Share	Second Largest Insurer - Insurer Name	Second Largest Insurer - Enrollment	Second Largest Insurer - Market Share	Third Largest Insurer - Insurer Name	Third Largest Insurer - Enrollment	Third Largest Insurer - Market Share
United States	16839218	UNITEDHEALTH GRP	2581547	0.15	WELLPOINT INC GRP	2059120	0.12	AETNA GRP	1418761	0.08
Alabama	291961	BCBS OF AL GRP	284488	0.97	UNITEDHEALTH GRP	5313	0.02	VIVA HLTH INC	1951	0.01
Alaska	31563	PREMERA BLUE CROSS GRP	21243	0.67	ASSURANT INC GRP	4032	0.13	AETNA GRP	3714	0.12
Arizona	205772	BCBS OF AZ INC	50455	0.25	UNITEDHEALTH GRP	47381	0.23	AETNA GRP	44693	0.22
Arkansas	132828	ARKANSAS BCBS GRP	86581	0.65	UNITEDHEALTH GRP	26500	0.20	QCA HLTH PLAN INC	17402	0.13
California	1892590	KAISER FOUNDATION GRP	671750	0.35	WELLPOINT INC GRP	559282	0.30	BLUE SHIELD OF CA GRP	321980	0.17
Colorado	243530	UNITEDHEALTH GRP	74094	0.30	KAISER FOUNDATION GRP	62145	0.26	WELLPOINT INC GRP	60378	0.25
Connecticut	226685	WELLPOINT INC GRP	91012	0.40	EMBLEM HLTH GRP	57606	0.25	UNITEDHEALTH GRP	41156	0.18
Delaware	47515	HIGHMARK GRP	30603	0.64	AETNA GRP	15633	0.33	INDEPENDENCE BLUE CROSS GRP	563	0.01
District of Columbia	84809	CAREFIRST INC GRP	69464	0.82	UNITEDHEALTH GRP	10494	0.12	KAISER FOUNDATION GRP	2841	0.03
Florida	780077	UNITEDHEALTH GRP	276226	0.35	GUIDEWELL MUT HOLDING GRP	272620	0.35	AETNA GRP	138623	0.18
Georgia	478890	WELLPOINT INC GRP	161743	0.34	AETNA GRP	128664	0.27	HUMANA GRP	80201	0.17
Hawaii	118885	HAWAII MEDICAL SERV ASSN	71137	0.60	KAISER FOUNDATION GRP	27701	0.23	HAWAII MGMT ALLIANCE ASSN	20034	0.17
Idaho	86500	BLUE CROSS OF ID GRP	42725	0.49	CAMBIA HEALTH SOLUTIONS INC	28142	0.33	PACIFICSOURCE HLTH PLAN GRP	10581	0.12
Illinois	612331	HCSC GRP	373065	0.61	UNITEDHEALTH GRP	98790	0.16	HUMANA GRP	67670	0.11
Indiana	304076	WELLPOINT INC GRP	175888	0.58	UNITEDHEALTH GRP	53739	0.18	PHP INDIANA GRP	26951	0.09
Iowa	154554	WELLMARK INC GRP	100751	0.65	UNITEDHEALTH GRP	35256	0.23	AETNA GRP	13136	0.08
Kansas	189143	BCBS OF KS GRP	117902	0.62	AETNA GRP	28452	0.15	BCBS OF KC GRP	16655	0.09
Kentucky	175609	WELLPOINT INC GRP	117697	0.67	HUMANA GRP	38630	0.22	UNITEDHEALTH GRP	10956	0.06
Louisiana	276609	LOUISIANA HLTH SERV GRP	223906	0.81	HUMANA GRP	24145	0.09	UNITEDHEALTH GRP	18942	0.07
Maine	76668	WELLPOINT INC GRP	30968	0.40	HARVARD PILGRIM HLTH CARE GRP	28432	0.37	AETNA GRP	16244	0.21
Maryland	320900	CAREFIRST INC GRP	220153	0.69	AETNA GRP	51692	0.16	UNITEDHEALTH GRP	41241	0.13
Massachusetts	556772	BCBS OF MA GRP	230976	0.41	HARVARD PILGRIM HLTH CARE GRP	142399	0.26	TUFTS GRP	84854	0.15
Michigan	563746	BCBS OF MI GRP	334542	0.59	COREWELL HLTH GRP	105821	0.19	HENRY FORD HLTH SYSTEM GRP	30786	0.05
Minnesota	308511	BCBS OF MN GRP	116819	0.38	HEALTHPARTNERS GRP	99725	0.32	MEDICA GRP	69897	0.23
Mississippi	111019	MISSISSIPPI INS GRP	94568	0.85	UNITEDHEALTH GRP	11610	0.10	HUMANA GRP	3083	0.03
Missouri	295208	WELLPOINT INC GRP	145927	0.49	AETNA GRP	47314	0.16	UNITEDHEALTH GRP	43671	0.15
Montana	54273	HCSC GRP	37185	0.69	PACIFICSOURCE HLTH PLAN GRP	8849	0.16	CIGNA HLTH GRP	3758	0.07
Nebraska	91037	BCBS OF NE GRP	57545	0.63	AETNA GRP	15462	0.17	UNITEDHEALTH GRP	15041	0.17
Nevada	103011	UNITEDHEALTH GRP	36961	0.36	WELLPOINT INC GRP	24975	0.24	AETNA GRP	17143	0.17
New Hampshire	82925	WELLPOINT INC GRP	60403	0.73	HARVARD PILGRIM HLTH CARE GRP	19057	0.23	MVP GRP	2909	0.04
New Jersey	646406	BCBS OF NJ GRP	379797	0.59	UNITEDHEALTH GRP	94389	0.15	AETNA GRP	86749	0.13
New Mexico	56710	PRESBYTERIAN HLTHCARE SERV GRP	18747	0.33	HCSC GRP	16296	0.29	ARDENT HLTH SERV GRP	15065	0.27
New York	1377078	UNITEDHEALTH GRP	664644	0.48	LIFETIME HLTHCARE GRP	203349	0.15	EMBLEM HLTH GRP	148045	0.11
North Carolina	303581	BCBS OF NC GRP	190724	0.63	UNITEDHEALTH GRP	69010	0.23	AETNA GRP	36597	0.12
North Dakota	70272	BCBS OF ND	60202	0.86	MEDICA GRP	7102	0.10	SANFORD HLTH GRP	1696	0.02
Ohio	873773	WELLPOINT INC GRP	350612	0.40	MEDICAL MUT OF OH GRP	268317	0.31	UNITEDHEALTH GRP	98137	0.11
Oklahoma	182866	HCSC GRP	111378	0.61	UNITEDHEALTH GRP	27054	0.15	AETNA GRP	25207	0.14
Oregon	222870	PACIFICSOURCE HLTH PLAN GRP	51596	0.23	CAMBIA HEALTH SOLUTIONS INC	39537	0.18	KAISER FOUNDATION GRP	32746	0.15
Pennsylvania	882821	AETNA GRP	185230	0.21	INDEPENDENCE BLUE CROSS GRP	182866	0.21	HIGHMARK GRP	169399	0.19
Rhode Island	78838	BCBS OF RI	60134	0.76	UNITEDHEALTH GRP	18139	0.23	TUFTS GRP	566	0.01
South Carolina	123258	BCBS OF SC GRP	86782	0.70	MEDICAL MUT OF OH GRP	13383	0.11	UNITEDHEALTH GRP	11763	0.10
South Dakota	49901	WELLMARK INC GRP	29944	0.60	SOUTH DAKOTA STATE MED HOLDING CO	11447	0.23	AVERA HLTH PLANS INC	4426	0.09
Tennessee	326619	BCBS OF TN GRP	226748	0.69	UNITEDHEALTH GRP	59382	0.18	HUMANA GRP	26552	0.08
Texas	1285559	HCSC GRP	688284	0.54	UNITEDHEALTH GRP	254270	0.20	HUMANA GRP	179861	0.14
Utah	239298	IHC INC GRP	97133	0.41	CAMBIA HEALTH SOLUTIONS INC	48790	0.20	UNITEDHEALTH GRP	39185	0.16
Vermont	57660	BCBS OF VT GRP	42753	0.74	MVP GRP	14900	0.26	CIGNA HLTH GRP	8	0.00
Virginia	429690	WELLPOINT INC GRP	198120	0.46	SENTARA HLTH MGMT GRP	68068	0.16	CAREFIRST INC GRP	63418	0.15
Washington	268255	PREMERA BLUE CROSS GRP	98091	0.37	CAMBIA HEALTH SOLUTIONS INC	78899	0.29	KAISER FOUNDATION GRP	36460	0.14
West Virginia	67634	HIGHMARK GRP	50248	0.74	AETNA GRP	14012	0.21	HEALTH PLAN GRP	2168	0.03
Wisconsin	376163	UNITEDHEALTH GRP	122059	0.32	WELLPOINT INC GRP	44438	0.12	HUMANA GRP	37072	0.10
Wyoming	21970	BCBS OF WY	14562	0.66	ASSURANT INC GRP	4783	0.22	WINHEALTH PARTNERS	1236	0.06

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